pain after cesarean delivery
Conditions
Interventions
I-TAP Group:patients will receive a combined bilateral transverse abdominis plane (TAP) block and bilateral iliohypogastric-ilioinguinal (IH-II) nerve block. A total of 60 mL of local anesthetic mixtu
TAP Group:Patients will receive an ultrasound-guided bilateral transverse abdominis plane (TAP) block. A total of 60 mL of local anesthetic mixture will be administered, with 30 mL injected on each si
Control Group:Patients in the control group will undergo a standard ultrasound scan and skin preparation. The practitioner will then perform all subsequent steps at the predetermined needle insertion
Sponsors
Obstetrics and Gynecology Hospital of Tongji University
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Age 20-40 years old; 2. Gestational age 37-42 weeks; 3. ASA class II-III; 4. Elective cesarean section at our hospital; 5. Single fetus; 6. BMI <= 35 kg/m^2; 7. Voluntarily agree to participate in the study and sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Contraindications for neuraxial anesthesia; 2. Coagulation disorders; 3. Infection at the puncture site; 4. Allergy to analgesic drugs (including liposomal bupivacaine, bupivacaine hydrochloride, ropivacaine, sufentanil, hydromorphone, as well as acetaminophen, flurbiprofen lipid); 5. More than three pregnancies; 6. Mothers with a history of drug abuse; 7. Chronic pain or long-term use of other sedative or analgesic drugs before delivery; 8. Known fetal abnormalities; 9. Maternal refusal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative opioid consumption within 24 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cumulative opioid consumption within 48 hours postoperatively;Time to first request for rescue analgesia postoperatively;Postoperative pain score; Nausea and vomiting incidence rate;Incidence of pruritus;Urinary Retention Incidence ;Incidence of motor block;Time to first mobilization;Rate of Successful Breastfeeding Initiation;Maternal Satisfaction Score;Quality of recovery-15; | — |
Countries
China
Contacts
Public ContactXiaobing Hu
Obstetrics and Gynecology Hospital of Tongji Universityal
Outcome results
None listed