Postoperative pain after cesarean section: an audit of practice after implementation of the PROSPECT recommendations

Cesarean section (CS) is the most frequently performed surgical intervention worldwide. Post- cesarean pain often underestimated and undertreated can impair rapid maternal recovery, mother child bonding breastfeeding. Recently, PROSPECT recommendations on postoperative for CS were published they include systematic paracetamol non-steroidal anti-inflammatory drugs (NSAIDs), intravenous dexamethasone, neuraxial morphine/dia- morphine or an abdominal wall block wound infiltration, binders, non-closure of peritoneum a Joel-Cohen incision. Opioids are administered as rescue. In UZ Leuven, these implemented at end 2020. To evaluate efficacy recommendations, prospective audit was from January 1 st , 2021 till April 30 th 2021. All patients with prospectively followed correct implementation protocol scores in rest mobilization. Rescue opioid consumption well patient satisfaction recorded. 185 consecutive that had undergone included audit. 55 not mostly due to no reduced administration NSAIDs. Patient high, especially which followed. Pain mobilization low percentage having above mm VAS remained low. We conclude based after effective controlling pain, reducing resulted high if correctly Omission NSAIDs occurring relatively frequent, but because valid medical reasons omit