Comparing TAP Block and ESP Block for Pain Relief After Elective Cesarean Section in Women Aged 18 to 45

What this Trial Is About

Researchers are comparing two pain relief methods, the transversus abdominis plane TAP block and the erector spinae plane ESP block, for women undergoing planned cesarean sections. The study focuses on how well each technique controls pain after surgery, especially six hours after the operation. The TAP block mainly targets pain in the abdominal wall, while the ESP block may address both abdominal wall and deeper organ pain. The study also examines opioid use, walking ability, and breastfeeding start times. Participants will be randomly assigned to receive either a TAP block or an ESP block after standard spinal anesthesia. Both blocks use ropivacaine 0.375%, delivered as 20 mL on each side 40 mL total. Pain levels will be measured at 6, 12, and 24 hours after surgery using a 0-10 scale, both when resting and moving. The study also records opioid consumption, time until additional pain medicine is needed, time to first walking, and when breastfeeding begins. Women aged 18 to 45 having elective cesarean sections will be involved. Researchers will collect pain scores and record opioid use and recovery milestones during the first 24 hours after surgery. The trial follows ethical guidelines and privacy rules, ensuring results will be shared to improve pain management after cesarean delivery. Total participation includes the surgery day and the following 24 hours of monitoring and assessment.

TAP Block Versus ESP Block in Patients Undergoing Elective Cesarean Section: a Randomized Controlled Trial