Analgesia after caesarean delivery

As the number of women giving birth by caesarean increases throughout most of the developed world, so too is research into postoperative pain relief for these women. Like most other post-surgical populations, the new mother needs effective pain relief so that she can mobilise early but she also has...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2009-07, Vol.37 (4), p.539-551
Main Authors: MCDONNELL, N. J, KEATING, M. L, MUCHATUTA, N. A, PAVY, T. J. G, PAECH, M. J
Format: Article
Language:English
Subjects:
Analgesia
Analgesia, Obstetrical - methods
Analgesics, Opioid - administration & dosage
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Biological and medical sciences
Care and treatment
Cesarean Section
Complications and side effects
Female
Health aspects
Humans
Medical sciences
Nerve Block - methods
Pain, Postoperative
Pregnancy
Risk factors
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Summary:As the number of women giving birth by caesarean increases throughout most of the developed world, so too is research into postoperative pain relief for these women. Like most other post-surgical populations, the new mother needs effective pain relief so that she can mobilise early but she also has the added responsibility of needing to care for her newborn baby. There is no 'gold standard' for post-caesarean pain management; the number of options is large and the choice of method is at least partly determined by drug availability, regional and individual preferences, resource limitations and financial considerations. Most methods rely on opioids, supplemented with anti-inflammatory analgesics, nerve blocks or other adjunctive techniques. The aim of this review is to detail commonly used opioid-based methods and to review the evidence supporting non-opioid methods, when incorporated into a multimodal approach to post-caesarean pain management. Areas of promising research are also discussed.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X0903700418