Ilioinguinal-iliohypogastric peripheral nerve block for analgesia after caesarean section

Abstract EN

Objective: The aim of this study was to examine if there is difference in morphine requirements and pain scores in patients undergoing caesarean section, with and without ilioinguinal - iliohypogastric nerve block.

Methods: In a randomized, prospective, double blinded study, 60 patients aged 17-38 years, undergoing caesarean section under general anaesthesia were included.

Patients were randomized into two groups.

The study group (n=30) had ilioinguinal and iliohypogastric nerve block with 0.5% bupivacaine bilaterally before skin incision, while the control group (n=30) received normal saline injection instead of bupivacaine.

The time of the study was from October 2004 to August 2005 at Prince Ali Ben Al-Hussein Hospital, Karak- Jordan.

Postoperatively patients received morphine according to pain scores.

Twenty four hour morphine consumption and pain scores at one, four, eight, and 24 hours were recorded.

Results: Both pain scores and morphine used were significantly reduced in the study group (P<0.05).

Conclusion: Ilioinguinal-iliohypogastric nerve block can reduce the pain and the amount of morphine required after caesarean section.