- 1 in 4 women who undergo cesarean delivery will develop chronic postsurgical pain (CPSP).
- Smokers, those with presurgery anxiety, and those with severe pain soon after surgery are at highest risk.
Why this matters
- Although CPSP is common after a cesarean delivery, this is the first study to identify factors that place patients at higher risk, all of which could be minimized with preventive strategies.
- Prospective cohort study.
- 621 pregnant patients who underwent elective cesarean delivery.
- Funding: Fundação de Amparo à Pesquisa do Estado de Goiás.
- After hospital discharge, simple analgesics or NSAIDs used for pain relief:
- 95.8% at 7 days of surgery.
- 36.0% at 30 days after surgery.
- 15.5% at 60 days after surgery.
- 17.0% at 90 days after surgery.
- No patients used an opioid after hospital discharge.
- At 3 months postsurgery, incidence of CPSP was 25.5% (95% CI, 21.8%-29.7%), most moderate to severe.
- After multivariable analysis, independent risk factors (adjusted relative risks; 95% CIs) for CPSP:
- Smoking: 2.22 (1.27-3.88).
- Preoperative anxiety: 1.03 (1.00-1.05).
- Severe postsurgical pain 7 days after surgery: 2.79 (1.29-6.00).
- Single-center study (Brazil).