Pregnancy and Childbirth Anaesthesia
Conditions
Interventions
Bilateral transversus abdominis plane block using normal saline
Bilateral transversus abdominis plane block using plain bupivacaine
Bilateral transversus abdominis plane block using plain bupivacaine and dexamethasone
Sponsors
Daniel Sottie
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: ASA 2 pregnant women at term presenting for elective caesarean section
Exclusion criteria
Exclusion criteria: Patient refusal Incisions other than Pfannenstiel Documented adverse reactions to local anaesthetics or glucocorticoids Pregnant women with diabetes mellitus Pregnant women with cardiovascular disease Body weight 35kg/m2 Presence of foetal pathology Presence of coagulation disorders Premedication with opioid or non-opioid analgesics, corticosteroids or NSAIDs Patients in whom NSAIDs are contraindicated History of postoperative nausea and vomiting Spinal anaesthesia contraindicated Inability to understand and use the numerical rating scale for pain assessment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time to first request rescue analgesia or the time to a Numerical Rating Scale pain score of =4 | — |
Secondary
| Measure | Time frame |
|---|---|
| Static and Dynamic Numerical Rating Scale pain scores in the first 24 hours after Caesarean Delivery;Amount of systemic opioid required for rescue analgesia in the first 24 hours after CD | — |
Countries
Ghana
Contacts
Public ContactJoojo Nyamekye Baidoo
Junior Resident
Outcome results
None listed