Tamsui District

Researchers are studying different methods of managing pain after caesarean section, a common surgery often causing severe postoperative pain. This observational, prospective cohort study aims to understand how well different analgesic methods work, including their impact on pain intensity, recovery, and postpartum depression. The study focuses on women aged 20 to 40 undergoing elective caesarean section with spinal anesthesia. Participants will be grouped based on the pain management methods they receive one group receives a combination of intravenous patient-controlled analgesia IV-PCA and a single intramuscular dose of dinalbuphine sebacate NALDEBAIN, while the other group receives IV-PCA alone. IV-PCA typically uses morphine delivered by a device installed after delivery and removed within three days. Dinalbuphine sebacate is a long-acting prodrug given once after delivery to help alleviate pain. During the study, researchers will collect data from medical records, questionnaires, patient diaries, and phone visits. They will assess pain intensity within five days after delivery, analgesic use, complications, recovery details like ambulation and gastrointestinal function, breastfeeding, and postpartum depression up to three months after delivery. Participants satisfaction and chronic pain levels will also be evaluated. This comprehensive monitoring aims to provide detailed insights into postoperative pain management and recovery outcomes.