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Breakthrough Pain During Cesarean Delivery
1Department of Anesthesiology, Columbia University Irving Medical Center, 3959 Broadway, New York, NY 10032, USA.
Anesthesiology Clinics
|July 30, 2026
Summary
Breakthrough pain during cesarean delivery affects up to one-third of patients. This review discusses understanding, measuring, and managing this pain to prevent consequences like post-traumatic stress disorder.
Area of Science:
- Anesthesiology
- Obstetrics
- Pain Management
Background:
- Breakthrough pain during cesarean delivery is a patient-reported outcome.
- It occurs in up to one-third of patients, influenced by anesthetic and obstetric factors.
- Neuraxial anesthesia is commonly used for cesarean delivery.
Purpose of the Study:
- To review the understanding of breakthrough pain during cesarean delivery under neuraxial anesthesia.
- To discuss methods for measuring and reporting this pain.
- To explore strategies for prevention, mitigation, and management.
Main Methods:
- Literature review of studies on breakthrough pain during cesarean delivery.
- Analysis of anesthetic and obstetric risk factors.
- Discussion of pain assessment tools and management strategies.
Main Results:
- Breakthrough pain is a significant concern, affecting a substantial patient proportion.
- Factors like epidural anesthesia and intrapartum cesarean delivery increase risk.
- Effective pain management is crucial to prevent adverse outcomes.
Conclusions:
- Understanding breakthrough pain is essential for improving patient care during cesarean delivery.
- Multifaceted strategies are needed for prevention and management.
- Addressing breakthrough pain may reduce the incidence of childbirth-related post-traumatic stress disorder.
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