ASSESSMENT OF QUALITY OF POSTOPERATIVE PAIN MANAGEMENT AMONG MOTHERS WHO UNDERWENT CAESEREAN SECTION UNDER SPINAL ANESTHESIA AT SELECTED HOSPITALS OF SIDAMA REGION, IN 2024, MULTICENTER PROSPECTIVE COHORT STUDY.

Abstract

Introduction: Caesarean section is the most common delivery procedure in the world, and pain is a major problem in the postoperative period. Postoperative pain management outcomes and satisfactions with pain management have been important indicators to evaluate the quality of postoperative pain management. The best way of quality assessment of postoperative pain management is based on patients self-report. Objectives: To assess quality of postoperative pain management among mothers who underwent caesarean section within the 1st, 6, 12 and 24 postoperative hours among mothers taking spinal anesthesia at study area, Ethiopia in 2024. Methods: A prospective cohort study was conducted from February 2024 to May 2024 at multicenter. Pretested questionnaires were used to collect data until 24 hours after surgery. SPSS version 20 was used to code, input, validate, and analyze the data. Socio-demographic data and pain severity were summarized using descriptive statistics. Both bivariate and multivariable logistic regression analysis were done to evaluate the association between independent and dependent variable. For variables with a p-value < 0.25, multivariable logistic regression was performed. A P-value < 0.05 was considered as statistically significant. Result: Total 264 mothers participated in this study. The number of participants at the level of good quality and not good quality of postoperative pain management were 11(4.17%) and 253(95.83%) respectively. Education/Orientation on preoperative about anesthesia and operation (AOR, 6.856, 95% CI: 1.344-34.980), Adjuvant added with bupivacaine (AOR: 5.909, 95% CI: 1.314-26.570), and Nerve block done at the end of procedure (AOR: 4.643, 95% CI: 1.075 20.050), were all significantly associated with postoperative pain.