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Neuroanatomical Basis of Postoperative Pain and Assessment of Its Management in a Series of Patients Undergoing Caesarean Sections

Introduction: In recent decades, the cost of postoperative pain has been the subject of many studies based on protocols developed by scientific societies for its assessment and optimization. At the Regional Hospital of Saint-Louis (Senegal), several protocols have been developed for pain management, but no study has focused on the assessment of postoperative pain management specifically. We therefore initiated this work, the objectives of which were to remind the neuroanatomical and neurophysiological bases of postoperative pain, and to analyze the assessment and management of this pain in patients who have undergone a caesarean section. Materials and methods: This was a prospective and descriptive study, which took place in the gynecology-obstetrics department, over a period from January 2019 to July 2020. All patients who gave birth by cesarean section were included. The data was collected from a survey sheet written for this purpose. For each of the patients, the information was taken every day throughout the duration of postoperative hospitalization. Results: It appears from our work that after a cesarean section, the pain felt evolves on the first postoperative days with a peak during the second day. As in the data reported in the literature, there does not seem to be a difference in terms of pain intensity and analgesia dosage between scheduled and emergency caesarean sections. However, young age and female gender—for other types of surgeries—are risk factors associated with high postoperative pain scores. This trend is probably related to the low pain experience of tested patients. Our initial hypothesis was that acute post-operative pain after caesarean sections could be linked to defects in the perception and processing of pain by caregivers. Indeed, we have shown that awareness-raising, information, and training actions have made it possible to significantly improve the management of pain after a cesarean section. Conclusion: After a cesarean section the pain is intense, especially when the effects of the morphine wear off. However, in our context where morphine and its derivatives are only slightly used, the post-operative pain is maximal rapidly. This pain therefore needs to be researched and treated appropriately. After a campaign to raise awareness among healthcare personnel, it is possible to significantly improve the systematic administration of analgesics.

United-states , Rwanda , Senegal , American , American-pain-society , World-health-organization , Saharan-africa , Saint-louis-regional , Saint-louis-regional-hospital , Regional-hospital , Postoperative-pain

Dramatic Rise of Cesarean Deliveries in India from 2016 to 2021

Between 2016 and 2021, there has been a significant rise in the incidence of Cesarean section (C-section) deliveries throughout India.

Tamil-nadu , India , Madras , Chhattisgarh , Department-of-humanities , National-family-health-survey , Sectorc-sections , India-surge , Social-sciences , Cesarean-section , C-section

Jury awards $120M in birth trauma case that left boy with severe brain damage

For years, Kim Drake and K'Jon's mother had so many questions and no answers but suspected something went wrong at Henry Ford Hospital in Detroit.

Wayne-county , Michigan , United-states , Detroit , Brian-mckeen , Kim-drake , Michigan-department-of-health , Henry-ford-health , Human-services , Henry-ford-hospital , Attorney-brian , Ford-health

The effect of intravenous hyoscine butylbromide on slow progress in labor (BUSCLAB): A double-blind randomized placebo-controlled trial

Lise Christine Gaudernack and team assess the effect of hyoscine butylbromide on the duration of labor in nulliparous women showing early signs of slow labor.

Egypt , Cambridge , Cambridgeshire , United-kingdom , World-health-organization , Al-qahirah , Norway , Mexico , Saudi-arabia , Iraq , Turkey , Helsinki

The Unheard Struggles of Palestinian Women Amidst Global Feminism

The Unheard Struggles of Palestinian Women Amidst Global Feminism
counterpunch.org - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from counterpunch.org Daily Mail and Mail on Sunday newspapers.

Iraq , Afghanistan , Sudan , Syria , Israel , Rafah , Shamal-sina- , Egypt , Geneva , Genè , Switzerland , Gaza

Adolescents misadventures and long term effects

Adolescents misadventures and long term effects
vanguardngr.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from vanguardngr.com Daily Mail and Mail on Sunday newspapers.

Boli , Bauchi , Nigeria , Yetunde-arebi , Cesarean-section ,

Multifaceted intervention reduces perinatal morbidity without increasing cesarean rates

1. Best practices centred around supportive decisions and ultrasound evaluation of risk significantly reduced perinatal and maternal morbidity. 2. No difference in perinatal or maternal morbidity was seen between groups among patients who underwent elective Caesarean delivery. Evidence Rating Level: 1 (Excellent) Study Rundown: Women with a prior cesarean section face the dilemma of choosing

Quebec , Canada , Rating-level , Between-apr , Cesarean-section , Maternal-morbidity , Obstetrics , Perinatal-morbidity , Pregnancy , Uterine-rupture , Vaginal-delivery

Nasarawa: Strange woman steals newborn baby from Lafia hospital

A yet-to-be identified woman, on Tuesday, stole a newborn baby at the postnatal ward of Dalhatu Araf Specialist Hospital (DASH) Lafia, capital of Nasarawa

Nasarawa , Sokoto , Nigeria , Lafia , Nassarawa , Nigerian , Mohammed-salihu , Wosilat-suleiman , Gynecology-department , Dalhatu-araf-specialist-hospital , Cesarean-section , Acting-head

Nasarawa: Police arrest three suspects over alleged baby theft

Nasarawa: Police arrest three suspects over alleged baby theft
vanguardngr.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from vanguardngr.com Daily Mail and Mail on Sunday newspapers.

Nasarawa , Sokoto , Nigeria , Lafia , Nassarawa , Afia , Suleiman-abdullahi , Umar-nadada , Investigation-department , Police-command , Nasarawa-state , Dalhatu-araf-specialist-hospital

Police arrest 3 suspects over alleged baby theft in Nasarawa — National Accord Newspaper

Police arrest 3 suspects over alleged baby theft in Nasarawa — National Accord Newspaper
nationalaccordnewspaper.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from nationalaccordnewspaper.com Daily Mail and Mail on Sunday newspapers.

Nigeria , Afia , Nassarawa , Lafia , Nasarawa , Sokoto , Umar-nadada , Suleiman-abdullahi , News-agency-of-nigeria , Police , Investigation-department , Nasarawa-state