Effects of Nerve Blocks on Pain After Caesarean Section and Postpartum Depression

Not Applicable

• Conditions: Cesarean Section; Postoperative Pain; Postpartum Depression
• Interventions: Procedure: Nerve block

• Registration Number: NCT06221280
• Lead Sponsor: Kahramanmaras Sutcu Imam University

Brief Summary

At the end of your cesarean section surgery, which is started by applying medication to the spinal cavity from your waist, pain medication will be applied between the relevant muscle and its covering from your lower abdomen or back with the help of ultrasonography and a special block needle. Then, a patient-controlled pain device with a serum containing painkillers will be connected to your vascular access, and its use and purpose will be explained to you. You will be asked about your pain condition and the severity score of your pain, if any, at certain hourly intervals. At the end of 24 hours, a pain device will be removed, your satisfaction will be questioned and your complaints, if any, will be recorded. Immediately before surgery and 4-6 days after your surgery. An evaluation survey consisting of 10 questions will be asked to you within a 5-minute period during the weeks, at a time when you are free, and your answers will be recorded.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-11-01
• Primary Completion: 2023-11-01
• Study First Submitted: 2024-01-15
• Study First Submitted QC: 2024-01-15
• Study First Posted: 2024-01-24
• Status Verified: 2024-07
• Study Completion: 2024-07-01
• Last Update Submitted: 2024-07-04
• Last Update Posted: 2024-07-08

Recruitment & Eligibility

• Status: ENROLLING_BY_INVITATION
• Sex: Female
• Target Recruitment: 60

Inclusion Criteria

1. Having a good mental status,
2. Those aged ≥18 years,
3. Term pregnant (gestational age ≥ 36 weeks),
4. American Society of Anesthesiologists class II-III,
5. Patients who underwent cesarean section with spinal anesthesia will be included.

Exclusion Criteria

1. Having labor at term or obstetric emergency,
2. Having a twin pregnancy,
3. Having a diagnosed psychiatric disorder/using psychiatric medication,
4. Those who are allergic to local anesthetics and/or drugs used in the study,
5. The patient-controlled anesthesia device is out of use for any reason within the first 24 hours postoperatively,
6. Having peripheral neuropathy or neuromuscular disease,
7. Patients using anticoagulant drugs that will prevent regional anesthesia will be excluded from the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group E	Nerve block	Patients who underwent erector spinae plane block
Group T	Nerve block	Patients who underwent transversus abdominis plane block

Primary Outcome Measures

Name	Time	Method
Pain (VAS score)	12 months	Evaluation of the postoperative analgesic effectiveness of erector spinae and transversus abdominis plane blocks after cesarean section

Secondary Outcome Measures

Name	Time	Method
Postpartum depression (Edinnburg Depression Scale)	12 months	Comparison of the effectiveness of blocks for analgesia in terms of postpartum depression

Trial Locations

Locations (1)

KahramanmarasSIU; 🇹🇷 Kahramanmaraş, Turkey