Dubey Tripti, Yadav Shivangi Dubey, Kundawar Amey
Apollo Hospital, Navi Mumbai, India.
Seth G.S Medical College, KEM Hospital, Mumbai, Maharashtra India.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):250-255. doi: 10.1007/s13224-024-01947-z. Epub 2024 Mar 28.
An ideal post-cesarean section analgesic plan should aim for high-quality pain relief with minimal side effects, no risk of transfer through breast milk, and a faster return to normal maternal functioning. This study is aimed to assess the efficacy of analgesic action of direct infiltration of bupivacaine in patients undergoing LSCS.
This was a retrospective cross-sectional record analysis, assessing the medical records of 49 patients who were included from the medical records department of Apollo hospital, Belapur, Navi Mumbai.
49% patients did not require analgesics in the first 12 h postoperatively. The mean time of first demand of analgesia was 3.44 h (SD = 5.45). 61.2% patients were mobilized in 14 h or less postoperatively. In 69.4% patients, oral intake was initiated within 3 h of the surgery. 73.5% patient's initiated breastfeeding immediately after the surgery. At 4 h after surgery, the pain score was an average of 0.49 (SD = 0.79). 79.6% patients did not report postoperative nausea and vomiting. No patients reported wound infection or dehiscence post-surgery.
Bupivacaine infiltration post-cesarean section is a safe, effective and convenient method since it requires minimal available resources and no additional skills or supervision from medical experts. Hence, it is more suitable, especially in developing countries and rural/peripheral hospitals/maternity centers where the availability of equipment like USG machine may be difficult, making cheap, accessible yet effective analgesic options the need of the hour in post-LSCS patients.
理想的剖宫产术后镇痛方案应旨在实现高质量的疼痛缓解，副作用最小，无通过母乳传递的风险，并能更快恢复产妇正常功能。本研究旨在评估布比卡因直接浸润对接受低位剖宫产术患者的镇痛效果。
这是一项回顾性横断面记录分析，评估了从孟买新市镇贝拉布尔阿波罗医院病历科纳入的49例患者的病历。
49%的患者术后12小时内不需要镇痛。首次需要镇痛的平均时间为3.44小时（标准差=5.45）。61.2%的患者术后14小时或更短时间内可活动。69.4%的患者在手术后3小时内开始经口进食。73.5%的患者术后立即开始母乳喂养。术后4小时，疼痛评分平均为0.49（标准差=0.79）。79.6%的患者未报告术后恶心和呕吐。没有患者报告术后伤口感染或裂开。
剖宫产术后布比卡因浸润是一种安全、有效且方便的方法，因为它所需的可用资源最少，不需要医学专家的额外技能或监督。因此，它更合适，尤其是在发展中国家以及农村/周边医院/产科中心，那里可能难以获得超声机等设备，使得廉价、易获取且有效的镇痛选择成为低位剖宫产术后患者当前的需求。
