Postoperative pain after cesarean section. Encounter for cesarean delivery without indication
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women aged 18 to 40 years Undergoing elective cesarean section under spinal anesthesia ASA physical status II Second cesarean delivery Ability to understand and report pain using Visual Analog Scale Provision of written informed consent
Exclusion criteria
Exclusion criteria: Emergency cesarean section Preterm pregnancy Age below 18 or above 40 years History of allergy to dexmedetomidine Underlying systemic diseases Use of analgesics or sedatives within 24 hours before surgery Refusal to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain severity after cesarean section. Timepoint: Immediately after recovery and every 15 minutes up to 3 hours after surgery. Method of measurement: Visual Analogue Scale for pain assessment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative opioid consumption. Timepoint: During recovery period up to 3 hours after surgery. Method of measurement: Total dose of administered pethidine recorded in milligrams.;Postoperative blood pressure. Timepoint: Before intervention and every 15 minutes up to 3 hours after surgery. Method of measurement: Measured using a standard calibrated blood pressure monitoring device.;Arterial oxygen saturation. Timepoint: Before intervention and every 15 minutes up to 3 hours after surgery. Method of measurement: Measured using a standard pulse oximeter.;Postoperative nausea and vomiting. Timepoint: During recovery period up to 3 hours after surgery. Method of measurement: Clinical assessment based on presence or absence of nausea and vomiting.;Postoperative shivering. Timepoint: During recovery period up to 3 hours after surgery. Method of measurement: Clinical assessment based on presence or absence of shivering. | — |
Countries
Iran (Islamic Republic of)
Contacts
Karaj University of Medical Sciences