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Anesthesiology Research and Practice
Volume 2018, Article ID 2634768, 5 pages
Clinical Study

Disparity between High Satisfaction and Severe Pain in Patients after Caesarean Section: A Prospective Observational-Controlled Investigation

1Department of Anaesthesiology, University Medicine of Greifswald, Greifswald, Germany
2Department of Anaesthesia, McMaster University, Hamilton, ON, Canada

Correspondence should be addressed to Taras I. Usichenko; ed.dlawsfierg-inu@sarat

Received 2 November 2017; Accepted 10 February 2018; Published 11 April 2018

Academic Editor: Michael Frass

Copyright © 2018 Thomas Hesse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objectives. Recent advances in the treatment of postoperative pain (POP) have increased the quality of life in surgical patients. The aim of this study was to examine the quality of POP management in patients after CS in comparison with patients after comparable surgical procedures. Methods. This was a prospective observational analysis in patients after CS in comparison with the patients of the same age, who underwent comparable abdominal gynaecological surgeries (GS group) at the university hospital. A standardised questionnaire including pain intensity on the Verbal Rating Scale (VRS-11), incidence of analgesia-related side effects, and incidence of pain interference with the items of quality of life and patients’ satisfaction with the treatment of POP was used. Results. Sixty-four patients after CS reported more pain on movement than the patients after GS (): mean 6.1 versus 3.6 (VRS-11; ). The patients after CS reported less nausea (8 versus 41%) and vomiting (3 versus 21%; ) and demonstrated better satisfaction with POP treatment than the patients after GS: 1.4 (0.7) versus 1.7 (0.7) (mean (SD); VRS-5; ). Conclusion. The disparity between the high level of pain and excellent satisfaction with POP treatment raises the ethical and biomedical considerations of restrictive pharmacological therapy of post-CS pain.