Caesarean Section
Conditions
Keywords
Cesarean Section, Back Pain, Anesthesia, Local, Anesthesia, Spinal, Lidocaine
Brief summary
The study aimed to evaluate the effectiveness of field block in preventing postoperative low back pain (PDPB) in patients undergoing Cesarean Sections.
Detailed description
The purpose of this study was to evaluate the effectiveness of field block with lidocaine 2% (5 ml) administered with a 24G hypodermic needle before spinal anesthesia for patients undergoing LSCS, in preventing the development of postoperative low back pain (PDPB). The study aimed to determine if using a field block would decrease the incidence of PDPB compared to patients who received only spinal anesthesia.
Interventions
PROCEDUREGroup A: Field Block Group
Patients received field block with 5ml of 2% Lignocaine using a 24 G hypodermic needle before institution of subarachnoid block using 27 G Quincke's spinal needle for lower segment Caesarean section.
Sponsors
Tata Main Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Masking description
The person assessing the pain scores and the other observation parameters in the postoperative period was blinded to the group to which the patient was assigned.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
All patients undergoing LSCS under spinal anesthesia, ASA Grade 2 and Grade 2E and willing to participate in the trial
Exclusion criteria
Spine pathology/instability and coagulopathy, ASA Grade 3 and above, Pre-exiting low back pain, Morbid Obesity (BMI > 35), Patients needing more than 1 attempt for administration of spinal anaesthesia, Patients utilizing labour analgesia, Local infection or inflammation at the site of spinal anesthesia/field block, Unwilling to participate \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of postoperative back pain | 90 days | Post operative back pain was assessed using a questionnaire specifically designed to evaluate back pain and transient neurological symptoms (e.g., unilateral or bilateral pain or radicular pain in the buttock, thigh, calves, or legs). Twenty-four hours after surgery, the patients were assessed for incidence and level of low back pain. In patients with back pain, the characteristics, aggravating factors, and degree of back pain was assessed using a numeric NRS. The same questionnaire was used telephonically to assess pain at 7 days, 1 month and 3 months after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Birth weight of the child | 1 day | Birth weight of the Child was measured at the birth of the baby |
| Period of gestation (weeks) | Weeks between conception and birth when a baby through Caesarean Section | The period of gestation is the time between conception and birth when a baby through Caesarean Section in this study. |
| Gravida | 1 day | Gravida at the time of Caesarean. It refers to a woman who is pregnant or has been pregnant in the past, regardless of the outcome of the pregnancy. |
Countries
India
Outcome results
None listed