Methods of pain control for patients undergoing caesarean delivery

Transversus abdominis plane block versus wound site infiltration using 0.25% bupivacaine for post operative analgesia after caesarean delivery performed under subarachnoid block

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2018/05/014048

Enrollment

Registered

2018-05-22

Start date

Unknown

Completion date

Unknown

Last updated

2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- pregnant women

Interventions

Intervention1: transversus abdominis plane block: total duration for intervention was around 2 mins Control Intervention1: wound site infiltration: provides pain relief after caesarean section Control

Eligibility

Inclusion criteria

Inclusion criteria: 1. Pregnant patients undergoing elective / emergency caesarean section. 2. Patient height 150 â?? 170 cms. 3. Caesarean section with pfannenstiel incision

Exclusion criteria

Exclusion criteria: 1. Any contraindication to sub arachnoid block. 2. Any obvious spine deformity. 3. ASA grade III/IV 4. Known h/o hypersensitivity to bupivacaine.

Design outcomes

Primary

Measure	Time frame
Time to the first rescue analgesia in TAP block is higher than the wound site infiltrationTimepoint: The mean time to first rescue analgesia in Group T was 13.40Â±4.51 hours and in Group I was 6.20Â±4.25 hours which was statistically highly significant (p-0.001)	—

Secondary

Measure	Time frame
1.Patient pain will be evaluated by NPS at2,4,6,12,24hr after the block 2.Total no. of doses of first rescue analgesics over 24 hr 3.Total number of patients requiring second rescue analgesic. 4.ComplicationTimepoint: The mean NPS score in group T was less as compared with group I 2. Total number of doses of first rescue analgesic required over 24 hours was less in group T (0.967Â±0.18) as compared to group I (1.567Â±0.56 ) 3. In our study only five patients in group I needed second rescue analgesic for pain control while none of the patients required second rescue analgesic in group T. 4. none of the patients in our study had any complications.	—

Measure

Time frame

1.Patient pain will be evaluated by NPS at2,4,6,12,24hr after the block 2.Total no. of doses of first rescue analgesics over 24 hr 3.Total number of patients requiring second rescue analgesic. 4.ComplicationTimepoint: The mean NPS score in group T was less as compared with group I 2. Total number of doses of first rescue analgesic required over 24 hours was less in group T (0.967Â±0.18) as compared to group I (1.567Â±0.56 ) 3. In our study only five patients in group I needed second rescue analgesic for pain control while none of the patients required second rescue analgesic in group T. 4. none of the patients in our study had any complications.

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Countries

India

Contacts

Public ContactDr DEEPAK KUMAR

MAULANA AZAD MEDICAL COLLEGE AND ASSOCIATED LOK NAYAK HOSPITAL

soniawadhawan@hotmail.com9810946845

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026