Introduction: Pain is one of the most pro-blems after cesarean section that causes m-any physiological and psychological probl-ems for mother. Numerous actions have be-en used to alleviate the post operative pain of cesarean. However, there is no consensus about the best suitable analgesic method. Aim of this study was to compare the impa-cts of general and spinal anesthesia on the severity of pain and consequences of the cesarean operation.
Materials & Methods: The present resea-rch was a double-blinded, randomized, cli-nical trial study, in which 110 pregnant wo-men aged 20-35 years undergoing cesarean (55 women in the spinal group and 55 wo-men in the general group) were assessed. Surgery technique was the same in both groups. All women received diclofenac so-dium as suppository. The post operation pain intensity (intolerable, sever, moderate, mild and no pain) were measured in groups by visual analog scale (VAS), headache, nausea and vomiting frequency. Also, the analgesic dose were measured in two gro-ups then compared. The data was analyzed by the SPSS software, version 11 and the statistical tests, chi-square and fisher.
Finding: 17.3% of the participants had nau-sea and vomiting and 2.7% had headache after cesarean operation. In the recovery ro-om before receiving the analgesics, 44.5% had moderate pain, and after receiving of analgesics 59.1% had mild pain. 47.3% of the patients received two doses of diclo-fenac sodium for relief of pain. There was a significant relationship between anesthesia type and pain intensity after surgery (p<0.05). There was no significant relation-ship between the anesthesia type and head-ache after pain.
Discussion & Conclusion: The type of an-esthesia has a significant influence on the intensity of pain, headache, nausea, and vo-miting after cesarean section.
shohani M, rasoli M, maleki F. Comparasion Study of Pain After Cesarean Section by General and Spinal Anesthesia. J. Ilam Uni. Med. Sci. 2013; 21 (3) :30-38 URL: http://sjimu.medilam.ac.ir/article-1-1164-en.html