Prevalence of back-pain following caesarean section under spinal anesthesia
Keywords:Backpain, Caesarean section, Delivery, Postpartum, Post anesthetic
Back pain following a caesarean section is a typical complaint. It has been statistically proven that more than 70% of cases, or 7 out of 10 women who give birth, endure back pain. If it is not treated at the appropriate time and with adequate measurement, the back pain may worsen in the future. A systematic literature search was performed to determine the prevalence and factors associated with back pain among patients undergoing spinal anesthesia. Many studies have attempted to determine risk factors for back pain after birth in different populations, using different methods and outcome variables. Data were collected from PubMed, Google scholar and the medicine and nursing database. Back pain that persists after a caesarean delivery is brought on by a number of circumstances. Post-partum back pain is linked to a history involving pre- and post-pregnancy back pain, obesity, bad posture while nursing, sitting, walking, and standing are the contributing factors. The study results show that by maintaining posture correction, yoga, meditation, lumbar support, rest and massage helps to alleviate post anesthetic back pain. This study confirms that the overall incidence of back pain is high in comparison to the majority of studies. The severity of back pain caused by spinal anesthesia is highly connected to the size of the spinal needle, body mass index, and number of attempts, body posture and number of bone contacts.
Joshi S, Parikh S. Prevalence of low back pain and its impact on quality of life in postpartum women. Int J Recent Scientif Res. 2016;7(11):14342-8.
ealth. Parashospitals.com. 2023. Available at: https://www.parashospitals.com/blogs/ba. Accessed on 04 July 2023.
Tariq S, Afzal A, Abid S, Ans M, Jabbar S, Azam S, et al. Prevalence of Chronic Low Back Pain Due To Cesarean Section Under Spinal Anesthesia Among The Housewives in Faisalabad District. Biol Med. 2020;12:472.
Shetty GM, Jain S, Thakur H, Khanna K. Prevalence of low back pain in India: A systematic review and meta-analysis. Work. 2022;73(2):429-52.
Koala Baby care. Postpartum back pain: causes and advices, 2020. Available at: https://koalababycare.com/blogs/koalavibes/postpart um-back-pain-causes-and-advice. Accessed on 04 July 2023.
First cry. Back Pain After C-Section – Causes and Remedies, 2022. Available at: https://parenting.firstcry.com/articles/backaftecsectio n-causes-and-remedies/. Accessed on 04 July 2023.
De Leon AM. Spinal anesthesia: Technique, 2022. Available at: https://www.uptodate.com/contents/ spinalanesthesia- technique. Accessed on 04 July 2023.
Benzon HT, Asher YG, Hartrick CT. Back Pain and Neuraxial Anesthesia. Anesth Analg. 2016;122(6):2047-58.
Vinmec. Back pain after caesarean section: What you need to know, 2023. Available at: https://www.vinmec.com/en/news/healthnews/obstet rics-gynecologyandassistedreproductivetechnolo gies- art/back-pain-after-caesarean-section- need-to-know/. Accessed on 04 July 2023.
Sindhu B, Sanatombi DE, Chakrabarty J. Effectiveness of inflatable lumbar support (ILS) for the prevention of short term backache among post- operative female patients undergoing lower abdominal surgery under spinal anesthesia. Int J Nurs Edu. 2015;7(1):78-80.
Physiotattva. How to Reduce Back Pain After C - Section and Pregnancy, 2023. Available at: https://www.physiotattva.com/blog/pain-aftersection. Accessed on 04 July 2023.
Physiotattva. 8 Best Ways to Reduce Back Pain After C- Section and Pregnancy, 2023. Available at: https://www.physiotattva.com/blog/pain-aftersection. Accessed on 04 July 2023.
Komatsu R, Ando K, Flood PD. Factors associated with persistent pain after childbirth: a narrative review. British J Anaes. 2020;124(3): e117-30.
Adinda P, Pradhana, Aryasa T, Putra Pradhana A, Ryalino C, Gusti I, et al. Post-spinal Backache After Caesarean Section: A Systematic Review, 2023. Available at: https://website.anestesiudayana.com/ wpcontent/uplo ads/2022/06/77. Accessed on 04 July 2023.
Nagalakshmi J. A study to assess the effectiveness of lumbar support in reducing lower back pain among women undergone caesarean section at Institute of Obstetrics and Gynaecology, Egmore, Chennai, 2014. Available at: https://www.semantic-scholar.org/paper/atNagalakshmi/ba11c053db 50be5486576559593067 a11c00b3e3. Accessed on 04 July 2023.
Thenmozhi P. Assess the Level of Back Pain among LSCS Mothers. SSRG Int J Nurs Health Sci. 2016;2(4).
Ahirwar A. The Prevalence Of Complications After Spinal anesthesia: A Cross Sectional Observational Study In Bundelkhand Popular. Int J Scientif Res. 2022;11(10).
Zeleke TG, Mersha AT, Endalew NS, Ferede YA. Prevalence and Factors Associated with Back Pain among Patients Undergoing Spinal Anesthesia at the University of Gondar Comprehensive and Specialized Hospital, North West Ethiopia: An Institutional Based Cross-Sectional Study. Adv Med. 2021;2021:1-8.