Incidence and Associated Factors of Postoperative Pain after Cesarean Section under Spinal Anesthesia at Gandhi Women and Child Care Memorial Hospital 2020/21, Addis Ababa, Ethiopia
No Thumbnail Available
Date
2021-03
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: Currently, cesarean delivery is dramatically increased obstetric procedure world
widely, but it associated with postoperative pain. “Postoperative pain is a sensory and emotional experience associated with actual or potential tissue damage”. Understanding risk factors of pain reduce social, economic, health, and psychological impact on mothers and family.
Objective: To assess the incidence and risk factors of postoperative pain after cesareans section
within the first zero, six, and 12 postoperative hours among the pregnant mothers taking spinal anesthesia at Gandhi women and child care memorial hospital, Addis Ababa, Ethiopia 2020/21.
Methods: After ethical committee approval, a cross-sectional study was conducted on 384 parturients who undergo cesarean section under spinal anesthesia in GMH in 2020/21 G.C.
Sample size was calculated by single population proportion formula by taking 39% of the previous study done from Uganda 2015. Data were collected by a structured questionnaire. SPSS
version 24 was used for data entry and analysis. Binary logistic regression was applied for analysis. A p-value of < 0.05 was considered statistically significant.
Result: The incidence of postoperative moderate to severe pain after cesarean section under spinal anesthesia was 47.4%. Duration of surgery, length of skin incision, and adjuvant added in bupivacaine, preoperative patient pain, preoperative anxiety, nerve block done at end of the surgery, and type of incision had a strong association with moderate to severe pain.
Conclusion: Postoperative pain after spinal anesthesia at Gandhi women and child care memorial hospital was high and needs pain management practice improvement. The practice of adding adjuvant to a spinal local anesthetic agent and performing nerve block at the end of the procedure were significantly reduced the experience of postoperative pain.
Description
Keywords
Postoperative pain, Numerical pain score scale, cesarean section, spinal anesthesia