Relationship Between Analgesia Techniques and Post-cesarean Recovery Quality

Evaluation of the Relationship Between Different Postoperative Analgesia Techniques and Post-cesarean Quality of Recovery; Prospective Observational Study

The question remains whether the patients in whom USG-guided regional anesthesia and analgesia techniques are applied have a better recovery score than subarachnoid morphine administration, which is considered the gold standard. The primary aim of this study is to evaluate the quality of recovery score using the Obstetric Recovery Quality Score-ObsQoR-10 questionnaire experienced by the patients who underwent elective cesarean section and compare the results of different regional anesthesia techniques with subarachnoid morphine.

National and international guidelines, hospital protocols, the anesthesiologist's experience, and the patient's decision play a role in selecting the technique used for postoperative analgesia after cesarean section. The quality of recovery score experienced following elective cesarean section in a total of 180 patients over one year (December 31, 2021-2022) who applied subarachnoid morphine, lateral TAP block, posterior-TAP block, QL block, ESP block, and TFD block (30 patients for each technique) will be evaluated with the ObsQoR-10 questionnaire 24 hours after delivery. The regional anesthesia techniques information applied to the patients will be obtained from the patient file. Researchers will not perform any interventional procedure, and any randomization will not be applied. After the data collection process for the study is completed, ObsQoR-10 will be compared statistically. The secondary aims of this study are to compare the cases in terms of postoperative analgesia and antiemetic requirements, first food intake and standing up without support, and patient satisfaction.

Inclusion Criteria:

• Term obstetric patients aged 18-47 years who underwent elective cesarean section under spinal anesthesia and applied regional anesthesia techniques such as lateral TAP, posterior-TAP, QL, ESP, and TFD blocks or subarachnoid morphine.

Exclusion Criteria:

• Patients with psychiatric disorders
• Patients requiring emergency cesarean section.
• Patients with additional obstetric pathology (such as placenta previa, preeclampsia, DM)
• The need for intensive care in the mother or newborn at the end of the birth.
• Patients who have undergone general anesthesia.
• Preterm pregnants