Impact of Local Anesthetic Wound Infiltration on Postoperative Pain Following Cesarean Delivery

Impact of Local Anesthetic Wound Infiltration on Postoperative Pain Following Cesarean Delivery

The purpose of this study is to determine if the infusion of the local anesthetic ropivacaine (a numbing medicine) and the non-steroidal anti-inflammatory drug ketorolac (a pain killer similar to ibuprofen) through a catheter placed along the cesarean delivery incision, will reduce the pain experienced after cesarean section and need for narcotic pain medicine.

Inclusion Criteria:

• American Society of Anesthesiology (ASA) class 1,2, and 3
• English speaking women at a gestational age > 37 weeks
• scheduled for cesarean delivery under spinal or combined spinal epidural anesthesia

Exclusion Criteria:

• BMI > 50 kg/m2
• history of intravenous drug or opioid abuse
• previous history of chronic pain syndrome
• history of opioid use in the past week
• allergy or contraindication to any of the study medications
• non-English speaking