Abstract

Postoperative pain is the most important concern following cesarean delivery as it interferes with the recovery of mother as well as her interaction with the new born. A multimodal analgesic regimen is most likely to achieve these goals. Present study was aimed to study analgesic efficacy of ultrasound guided transverse abdominal block for post operative pain management after cesarean delivery at a tertiary hospital. Material and Methods: Present study was single-centre, comparative study, conducted in patients undergoing elective lower segment caesarean section under spinal anaesthesia, ASA physical class I and II. Results: In present, study 80 pregnant women were enrolled & 40 pregnant women each were allotted to Group A (TAP block of 40 ml of 0.25% bupivacaine bilaterally) & Group B (received only routine postoperative analgesia). Baseline maternal characteristics such as age, weight, height, pulse rate, systolic BP, diastolic BP & duration of surgery were comparable in both groups & difference was not significant statistically. We noted that mean duration of postoperative effective analgesia (5.6 ± 1.1 hours vs 2.9 ± 0.5hours) & first analgesic request in (6.2 ± 2.1 hours vs 3.1 ± 0.9 hours) were significantly higher in group A as compared to group B, and the difference was statistically significant. Complications such as headache, nausea and vomiting, dry mouth were noted in present study, difference was not statistically significant. Conclusion: Ultrasound guided transverse abdominal block for post operative pain management after cesarean delivery is easy to perform and effective as a component of multimodal analgesic regimen after caesarean section without any major complications.

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