Acta clinica Croatica, Vol. 61. No. 4, 2022.
Original scientific paper
https://doi.org/10.20471/acc.2022.61.04.03
Level of Pain and Analgesics Taken after Cesarean Section and Differences According to Type of Anesthesia and Demographic Factors
Igor Andrić
; Mostar University Hospital, Department of Anesthesia, Resuscitation and Intensive Care, Mostar, Bosnia and Herzegovina
Dajana Vladić-Spaić
; Mostar University Hospital, Department of Anesthesia, Resuscitation and Intensive Care, Mostar, Bosnia and Herzegovina
Zoran Karlović
; Mostar University Hospital, Department of Anesthesia, Resuscitation and Intensive Care, Mostar, Bosnia and Herzegovina
Ana Milas
; Mostar University Hospital, Department of Anesthesia, Resuscitation and Intensive Care, Mostar, Bosnia and Herzegovina
Boris Matić
; Mostar University Hospital, Department of Anesthesia, Resuscitation and Intensive Care, Mostar, Bosnia and Herzegovina
Slavica Šimić
; Mostar University Hospital, Department of Anesthesia, Resuscitation and Intensive Care, Mostar, Bosnia and Herzegovina
Mirko Mihalj
; Mostar University Hospital, Department of Anesthesia, Resuscitation and Intensive Care, Mostar, Bosnia and Herzegovina
Abstract
The aim of this study was to investigate the level of pain and analgesic consumption
in puerperas after cesarean section according to the type of anesthesia administered. This was a
prospective study conducted at the Department of Obstetrics and Gynecology, Mostar University
Hospital, in the period from September 2015 to June 2016. The study included 111 puerperas. Experimental
group included 54 puerperas operated on under spinal anesthesia, while comparative group
included 57 puerperas operated on under general anesthesia. Primary endpoints of the study were
pain score and dose number of analgesics used. Input parameters of the study were age, gestational
age, education, and place of residence. To determine the level of pain, visual analog scale for pain was
used. Results showed that puerperas operated on under spinal anesthesia had significantly lower pain
sensation (p=0.031) and less need for analgesic consumption in the postoperative period as compared
to those operated on under general anesthesia (p=0.024). Increased age was associated with lower pain
sensation (p=0.014) and need for analgesics (p<0.05). Higher level of education was associated with
greater need for analgesics (p=0.016). Living in urban area was associated with greater pain sensation
(p=0.023) and less need for analgesics (p<0.17). Spinal anesthesia for cesarean section resulted in less
pain and less need for analgesics in the postoperative period compared to general anesthesia.
Keywords
Puerpera; Spinal anesthesia; General anesthesia; Pain level; Analgesic consumption; Cesarean section
Hrčak ID:
301346
URI
Publication date:
1.12.2022.
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