Objectives. Recent advances in the treatment of postoperative pain (POP) have increased the quality of life in surgical patients. The\naim of this study was to examine the quality of POP management in patients after CS in comparison with patients after\ncomparable surgical procedures. Methods. This was a prospective observational analysis in patients after CS in comparison with\nthe patients of the same age, who underwent comparable abdominal gynaecological surgeries (GS group) at the university\nhospital. A standardised questionnaire including pain intensity on the Verbal Rating Scale (VRS-11), incidence of analgesiarelated\nside effects, and incidence of pain interference with the items of quality of life and patients� satisfaction with the treatment\nof POP was used. Results. Sixty-four patients after CS reported more pain on movement than the patients after GS (N 63): mean\n6.1 versus 3.6 (VRS-11; P < 0.001).Thepatients after CS reported less nausea (8 versus 41%) and vomiting (3 versus 21%; P < 0.001)\nand demonstrated better satisfaction with POP treatment than the patients after GS: 1.4 (0.7) versus 1.7 (0.7) (mean (SD); VRS-5;\nP 0.02). Conclusion.The disparity between the high level of pain and excellent satisfaction with POP treatment raises the ethical\nand biomedical considerations of restrictive pharmacological therapy of post-CS pain.
Loading....