Incidence and associated factors of acute postoperative pain in women undergoing cesarean section at Gandi Memorial women and child care hospital, Addis Ababa,Ethiopia,2019/2020.

No Thumbnail Available



Journal Title

Journal ISSN

Volume Title


Addis Abeba University


Background: Pain is a sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage according to Association of the Study of Pain. Although advances in medical science, poor post-operative pain management exists in developed as well as developing countries including Ethiopia. Several preoperative, intra-operative and postoperative factors are realized to cause enhancement of postoperative pain. Therefore in resource shortage settings to take appropriate plan of treatment and proper use of multimodal analgesia, it is obliged to identify the problem and its factors. Objective: The aim of this study is to assess the incidence and associated factors of post-operative acute pain after cesarean section in the first 24 post-operative hours in Gandhi memorial Hospital, Ethiopia, 2020. Methods: An institutional based prospective follow up study was conducted in parturient undergone cesarean section in Gandhi memorial hospital from December 1-2019 to February 30-2020, data was collected by through interview and reviewing the patients chart after taking consent. Numerical rating scale was used to evaluate incidence of acute postoperative pain. Data was analyzed using SPSS version 20. Logistic regression was applied to point out independent risk factors for post-operative acute pain. Variables with a p-value of < 0.05 were taken as significant association with dependent variables. Result: A two hundred ninety parturient were participated in the study with a response rate of 98%. Moderate –severe acute postoperative pain after cesarean section was 76.2 %( 95% CI: 71%, 81%)in the first 24 hours postoperatively. On multivariable analysis, history of previous cesarean section (AOR: 2.80 95% CI: 1.40, 5.55), preoperative anxiety (AOR: 2.70, 95%CI: 1.45, 5.05), transverse incision type (AOR: 3.35, 95% CI: 1.67, 6.72), incision length (AOR: 2.46, 95% CI: 1.24, 4.85)were identified as associated factors of postoperative moderate-severe acute pain after cesarean section. Conclusion: The study confirmed that moderate-severe acute postoperative pain after cesarean section is enormous in proportion and also undertreated. Previous cesarean section, preoperative anxiety, incision type and incision length were determinants of post operative acute pain after cesarean section. Evaluate and document the pain rating scale, communicate with other integrative departments for a better management and organize a master plan to lessen the pain occurrence problem must be required.



Incidence, factors, cesarean section, acute postoperative pain, Addis Ababa, Ethiopia.