PAIN AFTER CESAREAN DELIVERY

Like any surgery, there is a certain degree of pain after cesarean surgery. However, it is easier to reduce these pains thanks to the pain medications and anesthesia-pain relieving methods developing today. The main cause of caesarean postpartum pain, as with any abdominal surgery, is the skin and under the skin muscle, fascia, etc. is the cutting of tissues. As with normal delivery, the uterus contracts to stop bleeding after cesarean, this contraction causes pain.
How to reduce pain after cesarean?
The most painful period after cesarean surgery is the first 2-4 hours. Spinal or epidural anesthesia (numbing with a needle from the waist) has a great advantage in this process. Because the effect persists for a few hours after the operation, the patient does not feel any pain during this period when the pain may be most intense. Neither waking up after general anesthesia is absent after spinal-epidural anesthesia. Pain medications called narcotic analgesics or non-steroidal anti-inflammatory drugs are used to prevent patients who undergo surgery with general anesthesia to feel pain after surgery. The serum given to the patient on the first day after the surgery and painkillers are also useful in reducing pain.
Patient Controlled Pain Relief (PCA, Patient Controlled Analgesia)
As the name suggests, this method is a method that gives pain medication in the patient's own control. As soon as the patient feels pain, the device presses the button and the drug is released. This method is generally applied by leaving the epidural anesthesia catheter in place after surgery. When the patient pushes the button, a small amount of painkillers are given to the epidural space in the catheter. The same method can be applied to deliver drugs intravenously. This method is widely used in many surgeries other than cesarean. The advantage of the PCA method is that it prevents the use of unnecessarily high doses of drugs, since the drug is given only when the patient feels pain. Also, when the patient feels pain, he does not wait for pain medication to be administered to him.

When does the pain pass?
Approximately 6 hours after the operation, the pain decreases considerably and the patient is relieved. He can stand up and walk, but he may feel slight pain in his groin and abdomen while walking. One day after the operation, the pain has decreased a lot, severe pain is no longer seen. After the patient returns home, painkillers are also prescribed for use at home. This time he spent at home until the time he came to control, he was lying down, leaning and straightening, etc. In sudden movements, there may be very little pain in the groin, in the abdomen of the patient. Apart from this, he does not have a severe pain.


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