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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Transversus abdominis plane (TAP) block
Procedure/SurgeryUnder 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
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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.
Locations
Sponsors and contacts
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