The variations of postoperative analgesia for cesarean section. What to choose?
Inadequate analgesia after operation is one of the reasons of complications in the early postoperative period. In obstetrics this problem gains also social character: early activation for care and feeding newborn is very important for woman. The goal of the study was to assess adequacy of pain management in women after Cesarean Section. The study included 139 patients. All of them were undergone the operation under spinal anesthesia. Two methods of analgesia were compared in early postoperative period and the patients were randomized into two groups for this purpose. The first group received combination of ketoprofene with the transversus abdominal plane block (TAP) and the other group received standard options of analgesia (ketoprofene+promedol). The study results showed that efficiency of analgesia in TAB-block group was higher that was confirmed by assessment made with rating verbal scales of pain. Opioid and non-steroid drugs consumption was much higher In standard analgesia group. The level of a cortisol and prolactinum was lower in patients from TAB-block group. Early activation was also registered in patients of this group. Hence, combination of the TAB-block with non-steroid agents provides high level of an analgesia, increases patient's comfort, and allows providing full care of babies starting from the first days after operation.