Effect of Three Different Postcesarean Analgesic Techniques on QbsQor-10 Score

Effect of Three Different Postcesarean Analgesic Techniques on ObsQoR-10 Score: Prospective, Randomized Trial

The aim of this study is to evaluate the effects of three different postsesarean analgesia techniques, including instillation of local anesthetic into the peritoneum with infiltration into all layers of the anterior abdominal wall, intrathecal morphine injection with local anesthetic, and quadrotus lumborum type 1 block, on the postoperative recovery of women using the ObsQoR-10 score..

This study will be planned on women who will undergo elective cesarean section surgery with neuraxial anesthesia, after obtaining ethics committee approval and written informed consent from the patients.Parturients will be randomized by the statistician using a computerized random numbers table and divided into 3 equal groups: Group IPLA + LWI, Group QLB 1 and Group M.Postoperatively, patients' ObsQoR-10 scores will be evaluated and recorded at the 24th and 48th hours.

Inclusion Criteria:

• Elective cesarean section under spinal anesthesia
• Full-term singleton pregnancy
• Agree to participate in the study
• American Society of Anaesthesiology Score of II

Exclusion Criteria:

• Contrindication for neuraxial anesthesia
• ASA≥3, diabetes, preeclampsia, cardiovascular disease, chronic pain and neuropathic pain
• Age< 18 or > 50
• Multiple pregnancy
• Presence of psychiatric diseases
• Gave a history of allergic to any medication in the study protocol
• Gave a history of chronic pain
• Unable to consent
• BMI>35 kg/m2
• Those who were given opioids during the operation due to intraoperative pain
• Those who have had previous abdominal surgery
• Patients who failed spinal anesthesia and switched to general anesthesia
• Those who have excessive bleeding or uterine atony during the operation
• Does not understand VAS
• Those who have a drain placed in the area to be infiltrated
• Gave a history of drug addiction