Obstetric Anesthesia Considerations I 2025-Postoperative Analgesia

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Video Summary

Beth Ann Clayton's presentation addresses postoperative pain management for cesarean deliveries, essential due to the rising global cesarean rates, projected to reach 28.5% by 2030. Poor postpartum pain control affects breastfeeding, newborn care, and mother-baby bonding. Unmanaged acute pain can lead to complications like thrombolic events, postpartum depression, and chronic pain. Studies highlight the inefficiency of opioid prescriptions, noting significant over-prescription and dependence risks. Multimodal analgesia, combining low-dose opioids and other analgesics like nonsteroidals and acetaminophen, offers superior pain relief, minimizing opioid use and its side effects. Neuraxial opioids are highlighted as particularly effective in the postoperative setting. Institutions are encouraged to adopt standardized care pathways, enhancing recovery protocols to optimize pain management. These guidelines advocate for structured perioperative orders integrating multimodal strategies, ensuring continued care post-discharge. Overall, comprehensive pain management is crucial for patient recovery and infant care post-cesarean.

Keywords

postoperative pain management

cesarean deliveries

multimodal analgesia

opioid prescription

standardized care pathways