Intrathecal Morphine vs. Transversus Abdominis Plane Block for Postoperative Analgesia in Cesarean Section: A Prospective Randomized Study

Abstract

Objective:This study aims to compare the analgesic effectiveness of intrathecal morphine with transversus abdominis plane (TAP) block in cesarean section patients.

Background:Effective postoperative pain management is crucial for recovery and patient satisfaction following cesarean sections. This study evaluates the comparative analgesic efficacy of intrathecal morphine and TAP block.

Methods: A prospective, randomized study included 128 patients aged 18-60 years, ASA I & II, undergoing elective cesarean sections. Patients were randomly assigned to receive either intrathecal morphine or TAP block. Postoperative pain scores, hemodynamic parameters, and rescue analgesia requirements were recorded.

Results: Patients receiving intrathecal morphine experienced significantly lower pain scores and extended time before requiring first analgesia compared to those receiving TAP block. Hemodynamic stability was similar in both groups.

Conclusion:Intrathecal morphine demonstrates superior analgesic efficacy compared to TAP block in cesarean sections, suggesting it may be the preferred method for managing postoperative pain in these patients.