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Acute Postoperative Pain After Caesarean Section, Intensity and Management: A Cohort Multicentre Study.

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Chronic postsurgical pain (CPSP) after caesarean delivery affects 14.59% of women, often with neuropathic features. This pain significantly impacts quality of life and daily functioning, highlighting a need for better management strategies.

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Area of Science:

  • Obstetrics and Gynecology
  • Pain Medicine
  • Surgical Outcomes

Background:

  • Chronic postsurgical pain (CPSP) following caesarean delivery is understudied despite its prevalence.
  • Caesarean delivery is a common surgery with potential long-term consequences for maternal well-being.
  • This study addresses the knowledge gap regarding CPSP after caesarean section.

Purpose of the Study:

  • To determine the prevalence of chronic postsurgical pain (CPSP) after caesarean delivery.
  • To describe the clinical characteristics and risk factors associated with CPSP.
  • To evaluate the impact of CPSP on patients' quality of life and daily functioning.

Main Methods:

  • A prospective, multicentre observational study involving women undergoing elective caesarean section.
  • Participants were assessed at 3 months postoperatively for persistent pain.
  • Data collection included clinical interviews, physical examinations, and validated quality of life questionnaires.

Main Results:

  • The prevalence of CPSP was 14.59% (69/514 women).
  • Most pain was somatic-like (94.20%), with high rates of neuropathic features (46.38%) and chronic pelvic pain (41.51%).
  • Preoperative factors and acute postoperative pain predicted CPSP development; neuropathic pain severely impacted mood and function.

Conclusions:

  • The prevalence of persistent pain after caesarean delivery is significant.
  • A notable subset of patients develops mixed neuropathic and chronic pelvic pain syndromes.
  • CPSP negatively affects quality of life, especially in patients with neuropathic symptoms.