Evaluation of Pain Management in the Patients after Caesarean Section in Ouagadougou, Burkina Faso
Published: 2024-02-20
Page: 66-71
Issue: 2024 - Volume 7 [Issue 1]
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.
Abstract
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
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