Ilioinguinal-Iliohypogastric peripheral nerve block for analgesia after caesarean section

ABSTRACT

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. 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 05% 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 AH 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. Both pain scores and morphine used were significantly reduced in the study group [P <0.05]. Ilioinguinal-iliohypogastric nerve block can reduce the pain and the amount of morphine required after caesarean section