Evaluation of Pain Management in the Patients after Caesarean Section in Ouagadougou, Burkina Faso

Ouattara Adama *

Department of Gynecology and Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.

Bako/Lankoande Natacha

University Teaching Hospital of Bogodogo, Ouagadougou, Burkina Faso.

Sawadogo Yobi Alexi

Department of Gynecology and Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.

Kiemtoré Sibraogo

Department of Gynecology and Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.

Ouédraogo Issa

Regional University Hospital Hospital, Ouahigouya, Burkina Faso.

Ouédraogo Charlemagne

Department of Gynecology and Obstetrics, Joseph KI ZERBO University, Ouagadougou, Burkina Faso.

*Author to whom correspondence should be addressed.


Objective: To evaluate the management of pain after caesarean section in order to improve our practices.

Patients and Methods: Prospective cross-sectional survey in the gynecology and obstetrics department of the Bogodogo University Teaching Hospital of Bogodogo (UTH-B) in Ouagadougou from 27 February to 28 May 2022. All women who had a caesarean section during the study period and who gave informed consent were included in the study.

Results: During the study period, 196 patients underwent caesarean section.

The mean age of our patients was 26 years, with extremes of 16 and 44 years. The 26-30 age group was the most represented, with 96 patients (48.9%). Caesarean section was performed urgently in 164 patients (83.7%). The majority of patients (95.4%) had undergone spinal anesthesia. All patients reported moderate to severe pain 6 hours after the operation. An almost similar finding was made 12 hours after the operation (96.9%), while 24 hours after the operation the pain was considered to be mild to moderate by the patients. All our post-caesarean patients received analgesics. Diclofenac suppository (100.0%) and nefopam (92.9%) were the most commonly prescribed analgesics. Co-administration of injectable nefopam and diclofenac suppository was the most frequent in our patients (81.6%). Post-caesarean treatment lasted 48 hours in most patients (161 women, 82.1%). During analgesic treatment, only 20 patients experienced adverse effects such as dizziness (11 cases) and nausea (9 cases).

Conclusion: Pain after caesarean section is experienced as very intense by our patients. Assessment and management of this pain should be a major concern.

Keywords: Pain, caesarean section, assessment, analgesics, UTH-Bogodogo, Ouagadougou

How to Cite

Adama , Ouattara, Bako/Lankoande Natacha, Sawadogo Yobi Alexi, Kiemtoré Sibraogo, Ouédraogo Issa, and Ouédraogo Charlemagne. 2024. “Evaluation of Pain Management in the Patients After Caesarean Section in Ouagadougou, Burkina Faso”. Asian Journal of Pregnancy and Childbirth 7 (1):66-71. https://www.journalajpcb.com/index.php/AJPCB/article/view/133.


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Macario A, Weinger M, Carney S, Kim A. Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesth Analg, 1999;89:652-58.

Norah LAE, Laura TP, Marcus K, Christin A, Johannes DWM, Brigitte S, Ulrich G, Jorge JC. Risk Factors for Severe Pain and Impairment of Daily Life Activities after Cesarean Section-A Prospective Multi-Center Study of 11,932 Patients. Clin Med. 2023;12(22):6999. DOI: 10.3390/jcm12226999

Ellen V, Marc Van De V. Post-cesarean section analgesia. Best Pract Res Clin Anaesthesiol. 2022;36(1):83-88. DOI:10.1016/j.bpa.2022.02.006 Epub 2022 Apr 10

Masaracchia MM, Zaretsky MV, Pan Z, Zhou W, Chow FS, Wood CL. Evolution of postoperative care: marked reduction of opioid consumption when ERAC pathway added to wound soaker therapy for cesarean delivery. J Matern Fetal Neonatal Med. 2023;36(1):2130241. DOI:10.1080/14767058.2022.2130241 Epub 2022 Oct 3.

Conférence de consensus sur la douleur postopératoire chez l'adulte et l'enfant. Ann Fr Anesth Réanim. 1998;17:445-61.

Attiron JM. Menace d'accouchement prématuré à la maternité du CHU-YO: aspects épidémiologiques, cliniques, thérapeutiques et pronostiques à propos de 107 cas colligés de Février à Juillet 2006. Th méd Ouagadougou UFR/SDS 2006;n°1146:93.

Konfe S. Etude des facteurs de risque d'accouchement prématuré à Bobo Dioulasso (Burkina Faso). Th méd Ouagadougou ESSA. 1990:n°8:67.

Traore A. Audit médical des césariennes: A propos de 200 cas au centre hospitalier universitaire Sourou Sanou de Bobo-dioulasso. Th méd, UFR/SDS 2004:96p.

Cissé CT, Ngom PM, Guissé A, Faye EO, Moreau JC. Réflexions sur l'évolution des taux de césarienne en milieu africain : Exemple du CHU de Dakar entre 1992 et 2001 Obstet Gynecol & Fert. 2004;32:210-7.

Bruyère M, Mercier FJ. Alternatives to epidural analgesia during labour. Ann Fr Anesth Réanim 2005;24:1375-7.

Mazoit JX. Local anaesthetics and peripheral blocks. Ann Fr Anesth Réanim 2006;25:113-3.

Viala F, Nepo Karangwab J, Uwambazimanab J, Panjat J, Ndoli J, Bouaziz H. Prise en charge de la douleur post césarienne au CHU de Kigali. Ann Fr Anesth Réanim 2009;28:129-2.

Palot M, Leymarie F, Jolly DH, Visseaux H Botmans-Daigrement C, Mariscal-Causse A. Demand for perimedullary analgesia by patients and obstetric teams in four French regions. Part II: performance of perimedullary analgesia. Ann Fr Anesth Réanim 2006:569-7.

Jury recommendations. Conférence de consensus. Prise en charge de la douleur post-opératoire chez l'adulte et l'enfant. Ann Fr Anesth Réanim. 1998;17:445-61.

Demelash G., et al. Prevalence and factors associated with postoperative pain after cesarean section at a comprehensive specialized hospital in Northwest Ethiopia: prospective observational study. Open Access Surg. 2022;15:1.

Kintu A.. Postoperative pain after cesarean section: assessment and management in a tertiary hospital in a low-income country. BMC Health Serv. Res. 2019;19 (1):1–6.

Samah Mohsen R. Post-operative pain after caesarean delivery: initial assessment for quality improvement. Int. J. Caring Sci. 2018;11(1):136–144.

Baca Q. Predicting acute pain after surgery A multivariate analysis. Ann. Surg. 2021; 273(2):289.

Woldehaimanot TE E.T., Kerie M.W. Postoperative pain management among surgically treated patients in an Ethiopian hospital. PLoS One. 2014;9(7).