Comparison of the Quality of Recovery After Cesarean Section Surgery

Muğla Sıtkı Koçman University80 enrolled

Overview

Inadequate pain control after cesarean section surgery causes postpartum depression, persistent pain and delayed mother-infant bonding. The investigator's aim is to asses whether ultrasound guided transversalis fascia plane block (TFPB) or transversus abdominis plane (TAP) block would improve postoperative quality of recovery and decrease postoperative opioid consumption after cesarean section surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Postoperative Recovery Abdominal Pain Cesarean Section

Interventions

Transversalis Fascia Plane BlockPROCEDURE

40 ml %0.25 bupivacaine divided into 2 equal doses will be injected by the anesthesiologist under ultrasonography guidance between transversus abdominis muscle and transversalis fascia bilaterally

Transversus Abdominis Plane BlockPROCEDURE

40 ml %0.25 bupivacaine divided into 2 equal doses will be injected by the anesthesiologist under ultrasonography guidance in the fascial plane between internal oblique muscle and transversus abdominis muscle bilaterally

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiologists physical status II-III * Cesarean section surgery under spinal anesthesia Exclusion Criteria: * American Society of Anesthesiologists physical status IV * Emergency surgery * General anesthesia * Additional surgical intervention at the same session * Body mass index of more than 35 kg/m2 * Allergy to any study drugs * Local infection at the injection site * History of drug abuse * Communication problem * Coagulopathy * Preeclampsia and eclampsia

Locations (1)

Mugla Sıtkı Kocman University Training and Research Hospital

Muğla, Turkey (Türkiye)

Outcomes

Primary Outcomes

Postoperative quality of recovery

Postoperative quality of recovery will be assessed by Obstetric Quality of Recovery 11 Turkish (ObsQoR-11T) score

Time frame: Postoperative 24th hour

Secondary Outcomes

Postoperative opioid consumption

Morphine consumption will be assessed by checking patient controlled analgesia (PCA) device records and fentanyl consumption will be assessed by checking patient daily drug order records

Time frame: Postoperative 1st, 2nd, 4th, 8th 12th and 24th hour

Numeric Rating Scale

A blinded nurse will assess postoperative pain during resting and movement at postoperative 1st, 2nd, 4th, 8th 12th and 24th hour by using 11-point Numerical Rating Scale which ranges from '0' (means no pain) to '10' (means worst pain imaginable)

Time frame: Postoperative 1st, 2nd, 4th, 8th 12th and 24th hour

Adverse Reactions

Nausea, vomiting, constipation, urinary retention and skin rash/pruritus will be assessed

Time frame: Postoperative 24th hour

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.