HEALTH OF WOMAN. 2016.3(109):76–79; doi 10.15574/HW.2016.109.76 
 

Assess the intensity of pain in women after caesarean section 
 

Kulchytskyi D. V.

National Medical Academy of Postgraduate Education P. L. Shupyk, Kiev

The objective: the assessment of the severity of post-operative pain in women who had elective delivery through cesarean operation.

Patients and methods. Patients were divided into two groups, depending on the method of operation. The main group consisted of 37 women who have a cesarean section performed by the standard method using argon plasma coagulation. Control group consisted of 33 pregnant women who performed the caesarean section as a standard procedure. To assess the severity of postoperative pain using visual analog scale at rest and during coughing after 6 , 12, 24, 48 hours after surgery.

Results. On postoperative stages, corresponding to 12, 24 and 48 hours after cesarean section, pain intensity at rest in I group was lower than in the II group. In addition, the data on stages 12, 24 and 48 g in the intervention group were significantly lower than in the control group (p<0.01). Time period for which there was a reduction in the intensity of pain when coughing to values less than 30 mm, was 12 hours in the main group. In the control group, the severity of pain when coughing during the observation period was maintained at above 30 mm on the visual analogue scale, which required the use of additional pain medication in this group of four women in childbirth (ketorolac 30 mg intramuscularly).

Conclusion. Application argono-plasma coagulation of tissue during a cesarean section, significantly reduces intensity of pain in the postoperative period.

Key words: cesarean section, postoperative pain, argon-plasma coagulation, visual analog scale.

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