ArticleEuropean journal of pain (London, England)2022
Intraoperative pain during caesarean delivery: Incidence, risk factors and physician perception.
Article in European journal of pain (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Acupuncture for post-cesarean pain and gastrointestinal function recovery: a meta-analysis and systematic review.Frontiers in medicine · 2025Pooled it
- Pain only she knows.Anaesthesia · 2026Article
- Incidence, risk factors and outcomes of intraoperative pain during non-elective caesarean section under spinal anaesthesia: a prospective observational study.Journal of anesthesia · 2026Article
- Particularities in Surgical Results Following Obstetrical and Gynecological Surgery Using Pharmacological, Anesthesiological and Genetic Markers.Journal of personalized medicine · 2026Article
- A comparative study of patient and provider priorities for cesarean delivery anesthesia care.International journal of obstetric anesthesia · 2025Article
- Failure of neuraxial anesthesia for postpartum tubal ligation: a single-centre retrospective cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- Prevention and management of intraoperative pain during Caesarean section.BJA education · 2025Review
- Patient and Provider Perspectives on Cesarean Delivery Pain and Anesthesia Experiences: A Qualitative Study.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Anesthesiologists' Attitudes Toward Randomization to General versus Neuraxial Anesthesia for Cesarean Delivery.Anesthesiology · 2024Article
- Comparing surgeon perception to publicly reported data using NSQIP.Journal of orthopaedics · 2023Article
- A comparison of anesthetic outcomes between activation and removal of epidural catheters for patients who underwent unscheduled intrapartum cesarean delivery.Proceedings (Baylor University. Medical Center) · 2023Article
- Predictors of intraoperative pain during cesarean delivery under regional anesthesia.Proceedings (Baylor University. Medical Center) · 2022Article
- Intraoperative pain during caesarean delivery: Incidence, risk factors and physician perception.European journal of pain (London, England) · 2022Article
- Intravenous Dexmedetomidine as an Adjunct to Neuraxial Anesthesia in Cesarean Delivery: A Retrospective Chart Review.Anesthesiology research and practice · 2021Article
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Authors and funding
10 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntraoperative pain is a possible complication of neuraxial anaesthesia for caesarean delivery. There is little information available about its incidence, risk factors and physician perception.
methodsParturients undergoing spinal anaesthesia for elective caesarean delivery were enrolled. Before surgery, parturients were asked about preoperative anxiety on a verbal numerical scale (VNS), anticipated analgesic requirement, postoperative pain levels, Spielberger STATE-TRAIT inventory index, Pain Catastrophizing Scale. After surgery, parturients were asked to answer questions (intraoperative VNS pain). The anaesthesiologist and obstetrician were asked to fill out a questionnaire asking about perceived intraoperative pain. Influence of preoperative anxiety on intraoperative pain (yes/no) was assessed using logistic regression. Mc Fadden's R
resultsWe included 193 parturients in our analysis. Incidence of intraoperative pain was 11.9%. Median intraoperative VNS pain of parturients with pain was 4.0 (1st quartile 4.0; 3rd quartile 9.0). Preoperative anxiety was not a good predictor of intraoperative pain (p-value of β-coefficient = 0.43, Mc Fadden's R
conclusionsWe found a substantial incidence (11.9%) of intraoperative pain during caesarean delivery. Preoperative anxiety did not predict intraoperative pain. Physicians did not accurately identify parturients' intraoperative pain. SIGNIFICANCE: Intraoperative pain occurred in 11.9% and severe intraoperative pain occurred in 1.11% of parturients undergoing elective caesarean delivery under spinal anaesthesia. We did not find any preoperative variables that could reliably predict intraoperative pain. Obstetricians and anaesthesiologists underestimated the incidence of intraoperative pain in our cohort and thus, more attention must be put to parturients' pain.
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