dc.contributor
[Espinós Ramírez C] Hospital Universitari Germans Trias i Pujol, Badalona, Spain. Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya (UIC), Barcelona, Spain. [Roca Amatria G] Hospital Universitari Sagrat Cor, Barcelona, Spain. [Castellví Obiols P] Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya (UIC), Barcelona, Spain. [Martínez-Rodríguez D] Instituto Universitario de Matemática Multidisciplinar, Universitat Politècnica de València, Valencia, Spain. [Raynard M] Hospital Universitari Dexeus, Barcelona, Spain. [Viscasillas Draper B] Hospital Universitari Germans Trias i Pujol, Badalona, Spain. [Martinez García M, Peig Font A] Departament de Medicina, Facultat de Medicina i Ciències de la Salut, Universitat Internacional de Catalunya (UIC), Barcelona, Spain. Consorci Sanitari de Terrassa (CST), Terrassa, Spain. [Sánchez-Migallón V] Hospital Universitari Vall d'Hebron (HVH), Barcelona, Spain
dc.contributor
Consorci Sanitari de Terrassa
dc.contributor.author
Espinós, Carles
dc.contributor.author
Roca Amatria, Gisela
dc.contributor.author
Castellvi, Pere
dc.contributor.author
Martínez-Rodríguez, David
dc.contributor.author
Viscasillas Draper, Blanca
dc.contributor.author
Martinez García, Maria
dc.contributor.author
Sánchez Migallón Pérez, Virginia
dc.contributor.author
PEIG-FONT, ANNA
dc.date.accessioned
2025-10-24T08:28:12Z
dc.date.available
2025-10-24T08:28:12Z
dc.date.issued
2025-09-03T11:28:04Z
dc.date.issued
2025-09-03T11:28:04Z
dc.date.issued
2025-06-30
dc.identifier
Espinós Ramírez C, Roca Amatria G, Castellví Obiols P, Martínez-Rodríguez D, Raynard M, Viscasillas Draper B, et al. Assessing the Experience and Management of Acute Post-Operative Pain from Caesarean Delivery: A Multi-Centre Cohort Study. J Clin Med. 2025 Jun 30;14(13):4638.
dc.identifier
http://hdl.handle.net/11351/13610
dc.identifier
10.3390/jcm14134638
dc.identifier.uri
https://hdl.handle.net/11351/13610
dc.description.abstract
Analgesia; Post-operative pain; Caesarean delivery
dc.description.abstract
Dolor postoperatori; Cesària; Analgèsia
dc.description.abstract
Dolor postoperatorio; Cesárea; Analgesia
dc.description.abstract
Caesarean section is considered one of the surgeries with the highest prevalence of postoperative pain, yet this is often underestimated and undertreated. This study was aimed at evaluating the prevalence and severity of postoperative pain, assessing which analgesic strategy is the most effective and identifying those risk factors associated with poorer analgesic results. Methods: A multi-centre observational study was conducted on 514 women undergoing elective caesarean section. The primary endpoints included postoperative pain severity at rest and with movement at 6 and 24 h. Results: The combination of intrathecal morphine and fentanyl with acetaminophen and Non Steroid Anti-inflammatory Drugs (NSAIDs) was associated with better pain control than any of the following treatments: intrathecal fentanyl with systemic acetaminophen and NSAIDs (2.49 ± 2.04 vs. 3.91 ± 2.75, ES = -0.610, p = 0.01), elastomeric pump at 6 h at rest (2.49 ± 2.04 vs. 4.10 ± 2.86, ES -0.733, p = 0.04) and with movement (4.44 ± 2.41 vs. 6.14 ± 3.08, ES -0.671, p = 0.01) or epidural analgesia (4.44 ± 2.41 vs. 5.65 ± 2.57, ES -0.496, p = 0.02). No risk factors predicting poorer postoperative analgesia were found. Conclusions: The prevalence of postoperative pain control after elective caesarean section is high. The best analgesic postoperative regimen includes intrathecal morphine together with fentanyl and systemic analgesics. No risk factors associated with poorer outcomes were found.
dc.description.abstract
This work was supported by a grant from the Generalitat de Catalunya (G61737409) and the Hospital Universitari Germans Trias i Pujol (LT2403).
dc.format
application/pdf
dc.relation
Journal of Clinical Medicine;14(13)
dc.relation
https://www.doi.org/10.3390/jcm14134638
dc.rights
Attribution-NonCommercial 4.0 International
dc.rights
https://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Dolor postoperatori
dc.subject
Cesària (Operació)
dc.subject
DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications::Pain, Postoperative
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Obstetric Surgical Procedures::Delivery, Obstetric::Cesarean Section
dc.subject
HEALTH CARE::Health Services Administration::Patient Care Management::Disease Management::Pain Management
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Anesthesia and Analgesia::Analgesia
dc.subject
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias::dolor posoperatorio
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos obstétricos::parto obstétrico::cesárea
dc.subject
ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::tratamiento de las enfermedades::tratamiento del dolor
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::anestesia y analgesia::analgesia
dc.title
Assessing the Experience and Management of Acute Post-Operative Pain from Caesarean Delivery: A Multi-Centre Cohort Study
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
