Role of Anxiety, General or Spinal Anesthesia effects on Post Cesarean Delivery Pain and Analgesic Intake Management

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Role of Anxiety, General or Spinal Anesthesia effects on Post Cesarean Delivery Pain and Analgesic Intake Management

J Matern Fetal Neonatal Med published an observational cohort study highlights the role of anxiety, general and spinal anesthesia on analgesic intake and postoperative pain intensity among women went through cesarean deliveries (Cds).

A total of 160 women in their 37-week gestation period and of age from 18 to 40 years were selected for the anaylsis. Two groups are formed which involved 80 -80 women recieved general and spinal anesthesia respectively during an elective CD. VAS was used to measure pain and Somatosensory Amplification Scale (SSAS),  State Anxiety Inventory (SAI) and Trait Anxiety Inventory (TAI) to measure anxiety. The analgesic need and pain were noticed during 1st, 6th, 12th, 18th, and 24th hours postoperatively.

The clinical characteristics, laboratory parameters and demographics of the both groups were statistically same. The SSAS, SAI and TAI scores were also similar in both groups. No difference was noticed in pethidine and diclofenac intake among groups (p > .05).  The VAS scores were higher in-group 1 as compared to group 2 at 1st (4.15 ± 1.84 versus 3.28 ± 2.41), 6th (3.85 ± 2.02 versus 3.13 ± 1.51) and 12th (3.64 ± 2.11 versus 2.94 ± 2.03) hour. The VAS scores showed no association with SSAS, SAI and TAI scores.

As per analysis, patients (SAI scores >45) with spinal anesthesia in first 12 hours exhibited lower pain intensity scores as compared to general anesthesia. However, groups showed no variations was seen in postoperative analgesic intake. The anxiety state helps to decrease the postoperative delivery pain. Although, more research is required to validate study results.

Source

J Matern Fetal Neonatal Med   

Link:

https://www.tandfonline.com/doi/abs/10.1080/14767058.2018.1487948?journalCode=ijmf20

The original title of article:

Effects of preoperative anxiety on postcesarean delivery pain and analgesic consumption: general versus spinal anesthesia.

Authors:

Zeynep Ozturk Inak et al.

SearchTags: 
Therapeutic, Delivery pain, General Anesthesia, Spinal Anesthesia, observational cohort study, Efficacy, VAS, SSAS, SAI, TAI
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