Caesarean section and postoperative pain therapy

The most common surgical intervention in maternity is cesarean section. Regardless of the fact that there are more complications after a caesarean section than after a vaginal delivery, the total number of pregnancies completed in this way is constantly increasing. This applies both to the first caesarean and to repeated caesareans. There are several classifications for caesarean section, and one of the most commonly accepted is according to the degree of urgency. Caesarean section is usually classified into planned (elective) and emergency. Regardless of the existence of various standards, their implementation in practice is very difficult, because there is a little delay in each of the given segments (calling for the anesthesiologist, moving the woman in labor to the operating room, preparing instruments and the team for the operation). However, the existence of good clinical practice guides greatly facilitates the work of staff in the operating room and delivery room. In postoperative pain therapy after caesarean section, the recommendation is, as in other branches of surgery, balanced and individualized analgesia. The choice of analgesics and their combinations is determined by the type of anesthesia for caesarean section, and consideration of the effect of analgesics on breastfeeding. The specificity of pain therapy for female patients after laparotomy for caesarean section is that a quick recovery is expected and the possibility of caring for the newborn even a few hours after the operation, i.e. in the shortest possible time. In addition, the ideal analgesia after caesarean section should be effective.