Journal of Pain Research
Postoperative Analgesic Practices and Pain Control Outcomes After Caesarean Delivery: A Cross-Sectional Survey of 215 Hospitals in Hubei Province, China
By Jing Chen, Yu Wang, Li Hu and 5 others.
Abstract
Objective
This study aimed to explore the spectrum of analgesic regimens, their effectiveness, and related adverse events following cesarean sections (CS) in Hubei Province, China, to provide an evidence base for refining post-CS pain management.
Methods
This facility-based cross-sectional study used aggregate institutional data submitted by department heads through the Hubei Anesthesia Quality Control and Service Cloud Platform. The analgesic practice (the utilization of intravenous analgesia and epidural analgesia and corresponding medication regimens), their effects (the incidence of inadequate analgesia), and safety profiles (the incidence of adverse reactions) of different pain management strategy following CS were collected for analyses. The primary outcome was the incidence of inadequate analgesia, which was defined as a Visual Analog Scale (VAS) score of ≥ 4 points within 48 hours. Unadjusted comparisons between groups were performed using chi-square tests and Spearman’s rank correlation; multivariable logistic regression was additionally applied to adjust for institutional-level covariates.