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Chronic pain following Caesarean section.

L Nikolajsen1, H C Sørensen, T S Jensen

  • 1Department of Anesthesiology, Viborg Hospital, Heibergs Allé 4, DK-8800 Viborg, Denmark. nikolajsen@dadlnet.dk

Acta Anaesthesiologica Scandinavica
|December 17, 2003
PubMed
Summary

Chronic pain after Caesarean section affects at least 5.9% of patients. This study investigated the incidence and characteristics of persistent abdominal scar pain following the procedure.

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Area of Science:

  • Obstetrics and Gynecology
  • Pain Medicine
  • Surgical Outcomes

Background:

  • Chronic postoperative pain is a recognized complication of various surgeries.
  • Limited data exists on chronic pain following gynecologic surgery.
  • Caesarean section is a common gynecologic procedure with poorly understood long-term pain sequelae.

Purpose of the Study:

  • To determine the incidence of chronic pain after Caesarean section.
  • To characterize the nature and impact of persistent pain following Caesarean section.

Main Methods:

  • A questionnaire was administered to 244 patients who underwent Caesarean section.
  • Data collected included duration, frequency, intensity, and impact of postoperative abdominal scar pain.
  • Follow-up occurred at a mean of 10.2 months post-surgery.

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Main Results:

  • 220 patients (90.2%) responded to the questionnaire.
  • 12.3% of patients reported persistent abdominal pain at follow-up.
  • 5.9% experienced daily or almost daily pain, with higher incidence after general anesthesia.

Conclusions:

  • Chronic pain following Caesarean section is a significant issue affecting at least 5.9% of patients.
  • Persistent pain may be associated with general anesthesia and prior pain experiences.