الفهرس 
ANATOMY AND PHYSIOLOGYOnly 14 pages are availabe for public view
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Abstract
C
esarean section is one of the commonly performed surgical procedures in the field of obstetrics. It accounts for more than one‑fourth of all births worldwide. The most common undesirable outcome following cesarean section is postoperative pain. Failure to treat the pain not only causes distress to the mother but also affects mother‑baby bonding, which, in turn, affects care and breastfeeding of the newborn.
Despite improvements in perioperative care, major surgical operations are still followed by sequelae such as pain, organ dysfunction and prolonged convalescence. It has been assumed that adequate pain relief will improve the surgical outcome with reduced morbidity, need for hospitalization and convalescence, and there is a common consensus that optimal pain relief is a prerequisite for early postoperative recovery.
Pain relief offered to mother should be safe, effective, and devoid of complications because excessive or inadequate pain relief has an impact on both the mother and the baby
TAP block is an efficient way of providing postoperative analgesia in patients with midline abdominal wall incisions. Its analgesic efficacy over the first 48 postoperative hours following cesarean delivery has been confirmed.
With the advancement of ultrasound technology, TAP blocks become technically easier and safer to perform. Thus, there was a surge of interest in TAP blocks as therapeutic adjuncts for analgesia after abdominal surgeries.
This prospective study was conducted at tertiary care hospital at Ain Shams University hospitals for 6 months from June to December 2020 and performed on total 80 patients who underwent elective cesarean section.
This study measured and compared intraoperative hemodynamics which were represented as mean arterial blood pressure and heart rate with the standard deviation for each respectively among the two studied groups and showed that there was no statistically significant difference found between the two studied groups compared to the baseline hemodynamics preoperatively.
Our research study revealed that there was statistically significant increase in visual analogue score in diclofenac group than TAP block group explained by removal of effect of spinal anaesthesia and regaining of pain sensation in diclofenac group while persistence of anaesthetic effect of bupivacaine in TAP block group.
Our research study found that there was statistically significant increase in the time to first request of analgesia in TAP block group than diclofenac group
This study demonstrated that there was statistically significant decrease in the total consumption of Pethidine (mg) in TAP block group than Diclofenac group.
The current research study revealed that there was no statistically significant difference between Diclofenac group & TAP block group regarding adverse effects postoperative nausea & vomiting.
We concluded that the study demonstrated the analgesic efficacy of the US-guided TAP block after Caesarean delivery compared to the combination of sodium diclofenac with less requirement of rescue analgesic.
We recommend TAP block in all women undergoing Caesarean delivery who have not received long-acting neuraxial opioids to relieve the physical distress of the mother and improve the quality of care of the newborn.