Postoperative analgesia after Caesarean delivery under neuraxial anaesthesia in a tertiary institution north central Nigeria: An observational study
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Date
2025
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College of Health Sciences, Osun State University Nigeria
Abstract
Objective: A retrospective study to evaluate the postoperative analgesic
regimens utilized after Caesarean section (CS) under neuraxial anaesthesia.
Currently, a multimodal opioid-sparing analgesic regimen is the gold standard
for post-CS pain management and it includes local/regional techniques
combined with scheduled nonsteroidal anti-inflammatory drugs (NSAIDs) and
acetaminophen.
Methods: This study was conducted on parturients who underwent CS under
neuraxial anaesthesia from October 2012- March 2022 in a tertiary hospital in
Ilorin, Nigeria. Data extracted from 308 case folders included the patient's
characteristics, comorbidities, type of neuraxial technique, and postoperative
analgesic regimen. Data analysis was done using IBM-SPSS 22.
Result: The commonest post -operative analgesic combination was IV
Acetaminophen+ IV pentazocine+ IM diclofenac 273 (66.2%). None of the
patients received a patient-controlled analgesia (PCA), transversus abdominis
plane (TAP) block.
Conclusion: Majority of the parturients received acetaminophenopioid/
NSAID combination drugs. No parturient received the current opioidsparing
multimodal analgesic regimen post-CS. The hospital requires a post-cs
pain management protocol.
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Keywords
Caesarean section, postoperative analgesia, Multimodal analgesia, Opioid sparing