Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study
<i>Background and Objectives</i>: Pain during and after the procedure remains the leading concern among women undergoing cesarean section. Numerous studies have concluded that the type of anesthesia used during a cesarean section undoubtedly affects the intensity and experience of pain a...
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MDPI AG
2022-12-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/1/44 |
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| author | Danka Mostic Stanisic Nevena Kalezic Aleksandar Rakic Nina Rajovic Tatjana Ilic Mostic Jelena Cumic Jelena Stulic Ivana Rudic Biljic Erski Nevena Divac Natasa Milic Radan Stojanovic |
| author_facet | Danka Mostic Stanisic Nevena Kalezic Aleksandar Rakic Nina Rajovic Tatjana Ilic Mostic Jelena Cumic Jelena Stulic Ivana Rudic Biljic Erski Nevena Divac Natasa Milic Radan Stojanovic |
| author_sort | Danka Mostic Stanisic |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Pain during and after the procedure remains the leading concern among women undergoing cesarean section. Numerous studies have concluded that the type of anesthesia used during a cesarean section undoubtedly affects the intensity and experience of pain after the operation. <i>Materials and Methods</i>: This prospective cohort study was conducted at the Clinic for Gynecology and Obstetrics, Clinical Center “Dragisa Misovic—Dedinje”, Belgrade, Serbia. Patients at term pregnancy (37–42 weeks of gestation) with an ASA I score who delivered under general (GEA) or regional anesthesia (RA) by cesarean section were included in the study. Following the procedure, we assessed pain using the Serbian McGill questionnaire (SF–MPQ), Visual Analogue Scale (VAS) and the pain attributes questionnaire at pre-established time intervals of 2, 12, and 24 h after the procedure. Additionally, time to patient’s functional recovery was noted. We also recorded the time to the first independent mobilization, first oral intake, and lactation establishment. <i>Results</i>: GEA was performed for 284 deliveries while RA was performed for 249. GEA had significantly higher postoperative sensory and affective pain levels within intervals of 2, 12, and 24 h after cesarean section. GEA had significantly higher postoperative VAS pain levels. On pain attribute scale intensity, GEA had significantly higher postoperative pain levels within all intervals. Patients who received RA had a shorter time to first oral food intake, first independent mobilization, and faster lactation onset in contrast to GEA. <i>Conclusions</i>: The application of RA presented superior postoperative pain relief, resulting in earlier mobilization, shorter time to first oral food intake, and faster lactation onset in contrast to GEA. |
| first_indexed | 2024-03-09T11:45:19Z |
| format | Article |
| id | doaj.art-3c12eb40b2ba4748b117cee016e0124a |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T11:45:19Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-3c12eb40b2ba4748b117cee016e0124a2023-11-30T23:23:34ZengMDPI AGMedicina1010-660X1648-91442022-12-015914410.3390/medicina59010044Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center StudyDanka Mostic Stanisic0Nevena Kalezic1Aleksandar Rakic2Nina Rajovic3Tatjana Ilic Mostic4Jelena Cumic5Jelena Stulic6Ivana Rudic Biljic Erski7Nevena Divac8Natasa Milic9Radan Stojanovic10Clinic for Gynecology and Obstetrics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaDepartment of Anesthesiology, Faculty of Medicine University of Belgrade, 11000 Belgrade, SerbiaClinic of Gynecology and Obstetrics “Narodni Front”, 11000 Belgrade, SerbiaInstitute for Medical Statistics and Informatics, Faculty of Medicine University of Belgrade, 11000 Belgrade, SerbiaDepartment of Anesthesiology, Clinic of Gynecology and Obstetrics, Clinical Centre of Serbia, 11000 Belgrade, SerbiaDepartment of Anesthesiology, Faculty of Medicine University of Belgrade, 11000 Belgrade, SerbiaClinic of Gynecology and Obstetrics “Narodni Front”, 11000 Belgrade, SerbiaClinic of Gynecology and Obstetrics “Narodni Front”, 11000 Belgrade, SerbiaInstitute for Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute for Medical Statistics and Informatics, Faculty of Medicine University of Belgrade, 11000 Belgrade, SerbiaInstitute for Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia<i>Background and Objectives</i>: Pain during and after the procedure remains the leading concern among women undergoing cesarean section. Numerous studies have concluded that the type of anesthesia used during a cesarean section undoubtedly affects the intensity and experience of pain after the operation. <i>Materials and Methods</i>: This prospective cohort study was conducted at the Clinic for Gynecology and Obstetrics, Clinical Center “Dragisa Misovic—Dedinje”, Belgrade, Serbia. Patients at term pregnancy (37–42 weeks of gestation) with an ASA I score who delivered under general (GEA) or regional anesthesia (RA) by cesarean section were included in the study. Following the procedure, we assessed pain using the Serbian McGill questionnaire (SF–MPQ), Visual Analogue Scale (VAS) and the pain attributes questionnaire at pre-established time intervals of 2, 12, and 24 h after the procedure. Additionally, time to patient’s functional recovery was noted. We also recorded the time to the first independent mobilization, first oral intake, and lactation establishment. <i>Results</i>: GEA was performed for 284 deliveries while RA was performed for 249. GEA had significantly higher postoperative sensory and affective pain levels within intervals of 2, 12, and 24 h after cesarean section. GEA had significantly higher postoperative VAS pain levels. On pain attribute scale intensity, GEA had significantly higher postoperative pain levels within all intervals. Patients who received RA had a shorter time to first oral food intake, first independent mobilization, and faster lactation onset in contrast to GEA. <i>Conclusions</i>: The application of RA presented superior postoperative pain relief, resulting in earlier mobilization, shorter time to first oral food intake, and faster lactation onset in contrast to GEA.https://www.mdpi.com/1648-9144/59/1/44general anesthesiaregional anesthesiacesarean sectionpost-cesarean painSF-MPQVAS |
| spellingShingle | Danka Mostic Stanisic Nevena Kalezic Aleksandar Rakic Nina Rajovic Tatjana Ilic Mostic Jelena Cumic Jelena Stulic Ivana Rudic Biljic Erski Nevena Divac Natasa Milic Radan Stojanovic Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study Medicina general anesthesia regional anesthesia cesarean section post-cesarean pain SF-MPQ VAS |
| title | Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study |
| title_full | Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study |
| title_fullStr | Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study |
| title_full_unstemmed | Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study |
| title_short | Comparison of Post-Cesarean Pain Perception of General Versus Regional Anesthesia, a Single-Center Study |
| title_sort | comparison of post cesarean pain perception of general versus regional anesthesia a single center study |
| topic | general anesthesia regional anesthesia cesarean section post-cesarean pain SF-MPQ VAS |
| url | https://www.mdpi.com/1648-9144/59/1/44 |
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