Assessment of Postoperative Pain after Cesarean Section among Libyan Women Using a Standardized Questionnaire

Mahmud Abushhewa; Omar Zaghlam; Taha Abdulrahman; Abdulati Salem; Fauzia AbdusaLam; Ashraf Naass; Surur Alhidad; Boshra Alnaier

doi:10.54361/ajmas.2584118

Authors

Mahmud Abushhewa Department of Biochemistry and Molecular Biology, Faculty of Medicine, Azzaytuna University, Libya https://orcid.org/0009-0003-8149-2122
Omar Zaghlam Higher Institute of Medical Sciences and Technologies, Qarabulli, Libya https://orcid.org/0000-0002-8880-9175
Taha Abdulrahman Department of Surgery, Faculty of Medicine, Azzaytuna University, Libya https://orcid.org/0000-0002-7200-011X
Abdulati Salem Department of Biochemistry, Faculty of Medicine, University of Misrata, Libya https://orcid.org/0009-0003-6043-1507
Fauzia AbdusaLam Department of Obstetrics & Gynecology, Faculty of Medicine, Azzaytuna University, Libya https://orcid.org/0009-0003-8444-090X
Ashraf Naass Libyan Biotechnology Research Center, Tripoli, Libya https://orcid.org/0009-0007-3085-7928
Surur Alhidad Department of Intensive Care and Anesthesia, Faculty of Medical Technology, Tarhuna National University, Tarhuna, Libya https://orcid.org/0000-0003-1592-6888
Boshra Alnaier Department of Intensive Care and Anesthesia, Faculty of Medical Technology, Tarhuna National University, Tarhuna, Libya https://orcid.org/0000-0002-4024-1605

DOI:

https://doi.org/10.54361/ajmas.2584118

Keywords:

Post-operative Pain, Associated Factors, Cesarean Section, Libya.

Abstract

This study analyzed postoperative pain experiences in 100 patients following cesarean sections (C/S), focusing on pain characteristics, medication efficacy, and functional impacts. Our findings revealed a high prevalence (87%) of moderate to severe pain, with significant correlations between pain intensity and factors such as age and number of C/S procedures. Younger patients (20–35 years) reported higher pain scores (p=0.023), and those with ≥3 C/S experienced more severe pain (p=0.008). Medication effectiveness varied by pain type, with stabbing pain responding better than aching pain (p=0.042). Severe pain was strongly associated with functional limitations, including breastfeeding difficulties (p=0.001), walking challenges (p<0.001), and sleep disturbances (p=0.003). The study underscores the need for enhanced multimodal analgesia strategies and personalized pain management to improve post-operative recovery outcomes for C/S patients.