Analgesia after caesarean delivery

Nolan Mcdonnell, M.L. Keating, N.A. Muchatuta, Timothy Pavy, Mike Paech

    Research output: Contribution to journalArticlepeer-review

    73 Citations (Scopus)


    As the number of women giving birth by caesarean increases throughout most of the developed world, so too is research into postoperative pain relief for these women. Like most other post-surgical populations, the new mother needs effective pain relief so that she can mobilise early but she also has the added responsibility of needing to care for her newborn baby. There is no 'gold standard' for post-caesarean pain management; the number of options is large and the choice of method is at least partly determined by drug availability, regional and individual preferences, resource limitations and financial considerations. Most methods rely on opioids, supplemented with anti-inflammatory analgesics, nerve blocks or other adjunctive techniques. The aim of this review is to detail commonly used opioid-based methods and to review the evidence supporting non-opioid methods, when incorporated into a multimodal approach to post-caesarean pain management. Areas of promising research are also discussed.
    Original languageEnglish
    Pages (from-to)539-551
    JournalAnaesthesia and Intensive Care
    Issue number4
    Publication statusPublished - 2009


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