Pain management after elective caesarean section under neuraxial anaesthesia: an updated systematic review and procedure‐specific postoperative pain management ( PROSPECT ) recommendations
Methodological detailsPROSPECT, PROSPECT methodology, update of existing recommendations
- PROSPECT
- PROSPECT methodology
- Update of existing recommendations
Recommendations
As issued by the authors
Intrathecal morphine 50-100 μg or diamorphine 300 μg pre-operatively
Paracetamol, NSAIDs and dexamethasone after delivery
If no neuraxial opioid: one of a range of recommended fascial plane blocks; alternatively, wound infiltration with local anaesthetic
Postoperative regimen: regular paracetamol and NSAIDs, with opioids for rescue
Surgical technique should include a Joel-Cohen incision
The peritoneum should not be closed
Original publication
Pain management after elective caesarean section under neuraxial anaesthesia: an updated systematic review and procedure‐specific postoperative pain management ( PROSPECT ) recommendations. Anaesthesia. Published 15 February 2026. doi:10.
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