الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
CD is a common surgery that results in moderate to severe degree of pain which requires an appropriate strategy for pain relief to achieve better results, as insufficient control of pain carries harmful physical and psychological consequences for both the mother and the infant like postpartum depression or the development of chronic postpartum pain. One of the most important strategies for pain relief after CD is the associate administration of opiates such as morphine or fentanyl either through IV or oral routes with NSAIDS, acetaminophen and regional anesthesia such as TAPB or QLB. Over the past two decades, the use of ultrasound technology has gained a lot of interest as an adjunctive strategy that enhances the performance of regional anesthesia when compared to landmark technique. TAPB and QLB are common methods of analgesia after lower abdominal surgeries. Comparison of the efficacy, advantages and disadvantages of both blocks is necessary to find the best method for analgesia after CD, especially because of limited research in this context. Therefore, this study was conducted to evaluate the quality of analgesia for both blocks with regard to the first time of requesting analgesia after surgery, VAS score, the total consumption of fentanyl in 24h after surgery, and degree of patient satisfaction. This study included 100 parturient who were scheduled to have a CD. They were randomly distributed into two equal groups. •group I received TAPB. •group II received QLB2. Pre-operative examination included CBC, INR, liver, kidney function test and ECG. Recording of the basal heart rate, blood pressure, and Spo2 was done. After the completion of surgery, a scheduled FPB was performed and the patient was transferred to PACU. VAS was followed up 24 hours (1, 2, 3, 4, 6, 7, 8, 10, 12, 18, 24h). If VAS was more than 30 Ketorolac and Paracetamol were given for the first time, with time being recorded as time for first analgesic request and both analgesics were given regularly every 8 hours. Additional doses of fentanyl (0.5 micrograms per kilogram) were given if VAS remained more than 30, with the total dose of fentanyl recorded over 24h period. Patients were asked about the presence of nausea, vomiting, numbness in the extremities, or any problems while trying to walk these observations were recorded. The patient’s satisfaction with their pain control was also investigated. The data was then collected and statistically analyzed to obtain the required information and results. The superiority of QLB2 was observed in the form of longer time for the first analgesic request and lower VAS compared to posterior TAPB and the consumption of a lower dose of fentanyl over a period of 24h and better patients’ satisfaction with QLB2. These differences statistically significant with regard to the first request for analgesia VAS at 4,8h during both rest and movement and at 24 hours during movement only, with better patient satisfaction in QLB2.