Introduction: Cesarean section is one of major surgical procedure. Delivery of adequate post- operative pain management is critical. The aim of this study was to assess the efficiency of existing post-operative pain management in Khoula hospital. Materials and Methods: In this prospective observational study, 132 patients scheduled for elective and emergency cesarean section under spinal anesthesia. The primary objective was to determine patient satisfaction with their post cesarean section pain management. The secondary objectives were to determine the effect of pain control on patient’s sleep pattern, mood and daily activity over the first 24 hours. Results: Post-operative analgesia regimen was started and followed by obstetric team in 100% of cases. The most common modalities were intramuscular opioids for break through pain and co-analgesia (intravenous paracetamol and intramuscular diclofenac) alone or in combination. Patient’s opinion regarding pain management was satisfactory in 84.8%, while 15.2 % were not satisfied. Overall, 12.5 % of patients reported mild complications that responded well to management. Marginal increase in the effect of pain on social maternal behavior in regard of mood, sleep and physical activity in emergency cases compared to elective cases. Conclusion: Post-operative pain management regimen was solely started and followed by obstetrician in the hospital. It was adequate in term of patient safety. However, it was not optimal as 55.3% of patients reported moderate pain intensity as per VAS score.
Alawi et al. (Tue,) studied this question.