Why the study?
Intraoperative pain during caesarean section under neuraxial anaesthesia risks adverse psychological sequelae and medicolegal claims, but generic guidelines lack specific recommendations.
This guidance provides pragmatic recommendations for the prevention, assessment, and management of intra-operative pain during caesarean section under neuraxial anaesthesia, emphasizing both technical and non-technical skills.
Adopt these recommendations to standardize intra-operative pain prevention and assessment in caesarean sections under neuraxial anaesthesia; extends prior guidance with multimodal testing protocols.
A woman who experiences pain during caesarean section under neuraxial anaesthesia is at risk of adverse psychological sequelae. Litigation arising from pain during caesarean section under neuraxial anaesthesia has replaced accidental awareness under general anaesthesia as the most common successful medicolegal claim against obstetric anaesthetists. Generic guidelines on caesarean section exist, but they do not provide specific recommendations for this area of anaesthetic practice. This guidance aims to offer pragmatic advice to support anaesthetists in caring for women during caesarean section. It emphasises the importance of non-technical skills, offers advice on best practice and aims to encourage standardisation. The guidance results from a collaborative effort by anaesthetists, psychologists and patients and has been developed to support clinicians and promote standardisation of practice in this area.
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Plaat et al. (2022) studied this question.
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