What question did this study set out to answer?

The study aims to compare the effectiveness of continuous ropivacaine wound infiltration as pain relief against epidural morphine after unplanned caesarean delivery.

March 7, 2026

Continuous Ropivacaine Wound Infiltration Versus Epidural Morphine After Unplanned Caesarean Delivery

Key Points

The study aims to compare the effectiveness of continuous ropivacaine wound infiltration as pain relief against epidural morphine after unplanned caesarean delivery.
Evaluated two pain control methods: continuous ropivacaine wound infiltration and epidural morphine.
Conducted during the post-cesarean delivery recovery phase.
Assessed pain relief and side effects of opioid use.
Continuous ropivacaine provided pain relief comparable to epidural morphine.
Potentially reduced opioid-related side effects compared to morphine.

Abstract

Eur J Anaesthesiol. 2025;42:449–457 doi:10.1097/EJA.0000000000002135 Effective post-cesarean delivery pain control is a critical component of an “enhanced recovery” pathway and allows postpartum milestones to be met early. There are many possible components of a multimodal postpartum analgesia plan, yet no universally accepted opinion exists regarding wound catheters as part of such protocols. In this study authors aimed to evaluate whether continuous ropivacaine wound infiltration could provide pain relief comparable to epidural morphine after unplanned caesarean delivery (CD), while potentially reducing opioid-related side effects.

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