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conferenceseries.com
Volume 8 Gynecology & Obstetrics
ISSN: 2161-0932 Gynecology 2018
October 08-10, 2018
October 08-10, 2018 | Zurich, Switzerland
5th International Conference on
Gynecology and Obstetrics
Management of pain after caesarean section and the maternal implications
Salam Hadid, Etty Peretz, Farida Morani, Katrin Bibar and Maya Wolf
Galilee Medical Center, Israel
Objective: Post-cesarean pain management affects both the mother and the newborn. Administration of intravenous
acetaminophen is an accepted pain control treatment option. The aim of the study is to examine the efficacy of intravenous
Acetaminophen every 8 hours for the first 24 hours post-cesarean section. A prospective quantitative research study was done.
Intervention: 102 post cesarean section women treated according to a pain protocol of intravenous acetaminophen. The degree
of pain was recorded repeatedly and then patients were questioned 48 hours post-operative about their pain experience and its
influence on functioning ability. Pain was measured according to the Visual Analog Scale (VAS).
Findings: Acetaminophen therapy reduced pain level by 2-4 points on the VAS and the additional analgesic that was given
when needed significantly reduced pain by 3-4 points on the VAS scale. Mean maximum pain reported in the first 24 hours
was VAS=5.61, in the next 24 hours 4.54. However, mean maximum pain recalled by the women was VAS=7.99 in the first 24
hours and 7.07 in the next 24 hours. Most women claimed that analgesics relieved their pain but that the pain restricted their
ability to perform tasks such as moving and leaving the bed, caring for the newborn and breastfeeding.
Conclusion: There is disparity between the level of pain reported by women in 'real time' and that recalled in self-report 48
hours post-operative. Despite pain alleviation by medication, functioning was still problematic.
Implications for Practice: Pain evaluation is insufficient; evaluation and intervention of maternal function is also necessary.
Biography
Salam Hadid has completed her PhD at Haifa University. She is a Pain Coordinator Nurse at Galilee Medical Center and Lecturer at Zefat Academic College.
Salam Hadid et al., Gynecol Obstet 2018, Volume 8
DOI: 10.4172/2161-0932-C4-033