Review Article

The Current Consideration, Approach, and Management in Postcesarean Delivery Pain Control: A Narrative Review

Table 2

Comparison efficacy of regional anesthetic techniques on analgesic efficacy.

Possible advantagesPossible disadvantages

Single-shot local anesthetic wound infiltrationEasy to perform
May benefit patients who did not receive intrathecal morphine [49]
Provides only somatic pain relief
Limited duration of action: 4–12 h [51, 52]

Continuous wound infusionDecreased opioid consumption [53]Provides only somatic pain relief
Risk of leakage [53]
Risk of dislodge [53]

Bilateral transversus abdominis plane blocksDecreased opioid consumption [63]
Duration of action: 6–12 h [63]
Provides only somatic pain relief [60]
Higher risk of local anesthetic systemic toxicity than with other techniques [65, 84]
Risk of block-related side effects

Bilateral quadratus lumborum blocksDecreased opioid consumption [77, 78]
Duration of action up to 24–48 h [76, 87]
Provides somatic ± visceral pain relief [88]
Risk of block-related side effects