The Effect of TAP Block on Maternal-Infant Bonding

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorAdiyaman University Research Hospital

About this trial

Cesarean delivery is a common surgical procedure that is typically performed under spinal anesthesia. Postoperative pain management has a significant impact on both the mother's physical recovery and the quality of maternal-infant bonding. The quality of maternal-infant bonding is influenced by various factors, including postoperative pain, early mobilization, initiation of breastfeeding, stress, psychological status, and hormonal balance. Studies have reported that adequate postoperative pain management, early breastfeeding, and early mobilization have positive effects on maternal-infant bonding.

Transversus abdominis plane (TAP) block is a regional anesthesia technique known for its efficacy in controlling postoperative pain. Bilateral TAP block performed after cesarean section has been associated with lower pain scores, reduced analgesic consumption, and shorter hospital stays. However, its impact on maternal-infant bonding has not been fully elucidated.

This study aims to investigate the effect of bilateral TAP block on maternal-infant bonding in women undergoing cesarean section under spinal anesthesia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18 aged or older patients,

Agree to participate in the study

Pregnant women without any maternal or fetal pathology during the pregnancy.

Disqualifiers

<18 age

Deny to participate in the study

maternal or fetal pathology during the pregnancy

Allergy to local anesthetics

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transversus abdominis plane (TAP) block

    Procedure/Surgery

    Under ultrasound guidance, 20 cc of 0.25% bupivacaine was planned to be administered between the internal oblique and transversus abdominis fascial planes on both lateral aspects of the anterior abdominal wall.

Treatment groups

132 Participants
are divided into 2 treatment groups
Group A: Control groupNo intervention 0 interventions
Group B: Block groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Perceived Maternal Parenting Self-Efficacy (PMP S-E) score

The PMP S-E is a questionnaire consisting of 18 questions that assess the mother's bond with her baby and her sense of parenthood. Each question consists of 4 options and will be scored on a scale from 0 to 3. The total score of the questionnaire will range from 0 to 54.

Time frame
Postoperative 48th hour, based on a single assessment

Secondary outcomes

1

Visual Analog scale (VAS) score

Postoperative pain scores will be assesed with visual analog scale at postoperative period. Vas score will range to 0-10. O refers to no pain and 10 refers to the worst pain ever had.

Time frame
Postoperative 2th, 4th, 6th, 12th and 24th hours

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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