The Effect of Transversus Abdominis Plane Block on Maternal-Infant Bonding in Cesarean Sections Performed Under Spinal Anesthesia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 132
- Primary Endpoint
- Perceived Maternal Parenting Self-Efficacy (PMP S-E) score
Study Overview
Brief Summary
Cesarean delivery is a common surgical procedure that is typically performed under spinal anesthesia. Postoperative pain management has a significant impact on both the mother's physical recovery and the quality of maternal-infant bonding. The quality of maternal-infant bonding is influenced by various factors, including postoperative pain, early mobilization, initiation of breastfeeding, stress, psychological status, and hormonal balance. Studies have reported that adequate postoperative pain management, early breastfeeding, and early mobilization have positive effects on maternal-infant bonding.
Transversus abdominis plane (TAP) block is a regional anesthesia technique known for its efficacy in controlling postoperative pain. Bilateral TAP block performed after cesarean section has been associated with lower pain scores, reduced analgesic consumption, and shorter hospital stays. However, its impact on maternal-infant bonding has not been fully elucidated.
This study aims to investigate the effect of bilateral TAP block on maternal-infant bonding in women undergoing cesarean section under spinal anesthesia.
Detailed Description
This study aims to investigate the effect of TAP block on maternal-infant bonding in women undergoing cesarean section under spinal anesthesia. Participants will be randomly assigned to two groups: one group will receive a TAP block in addition to standard care, while the other group will receive only standard pain management. Maternal-infant bonding will be assessed using the maternal bonding scale and behavioral evaluations at 48 hours and one month postpartum.
The primary outcome is to evaluate whether the TAP block improves early bonding by reducing pain and enhancing maternal comfort. Secondary outcomes include maternal pain scores, mobilization time, and initiation of breastfeeding. This study aims to contribute to the optimization of pain management strategies in cesarean deliveries, ultimately improving both maternal recovery and neonatal outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Screening
- Masking
- Single (Investigator)
Masking Description
The researchers performing the block procedures were not involved in the postoperative assessment.
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •18 aged or older patients,
- •Agree to participate in the study
- •Pregnant women without any maternal or fetal pathology during the pregnancy.
Exclusion Criteria
- •Deny to participate in the study
- •maternal or fetal pathology during the pregnancy
- •Allergy to local anesthetics
- •local ingection at block side
Arms & Interventions
Control group
standard pain management
Block group
standard pain management + Bilateral TAP block
Intervention: Transversus abdominis plane (TAP) block (Procedure)
Outcomes
Primary Outcomes
Perceived Maternal Parenting Self-Efficacy (PMP S-E) score
Time Frame: Postoperative 48th hour, based on a single assessment
The PMP S-E is a questionnaire consisting of 18 questions that assess the mother's bond with her baby and her sense of parenthood. Each question consists of 4 options and will be scored on a scale from 0 to 3. The total score of the questionnaire will range from 0 to 54.
Secondary Outcomes
- Visual Analog scale (VAS) score(Postoperative 2th, 4th, 6th, 12th and 24th hours)
Investigators
Nezir Yılmaz
Associate Professor
Adiyaman University Research Hospital