Comparison of Two Types of Pain Relief After Cesarean Delivery

Comparison of Two Methods of Pain Relief After Cesarean Delivery: Transversus Abdominis Plane (TAP) Block Versus Incisional Infiltration With Local Anesthetic

Women undergoing elective cesarean delivery, performed under a standard spinal anesthesia, will be randomized to undergo either TAP block or incisional infiltration with local anesthetic, in addition to standard postoperative analgesia comprising regular acetaminophen, nefopam and ketoprofen. Short acting oral morphine will be given as a rescue treatment in case of severe pain.

Inclusion Criteria:

• scheduled cesarean section performed under spinal anesthesia
• ASA I or II
• height above 1,55 m
• singleton pregnancy

Exclusion Criteria:

• contre indication to a drug used in the study (levobupivacaine, ketoprofen, nefopam)