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REGIONAL ANESTHESIA AS A RISK FACTOR OF LOW BACK PAIN IN POSTPARTUM WOMEN

Dr. Aisha Amin, Dr. Rafia Siddiq, Dr. Seemab Kokab, Dr. Faiza Rasheed, Dr. Syeda Ayesha Fatima, Dr. Mubarika Saeed, Dr. Zainab Khalid

Background: Regional anesthesia includes both spinal and epidural anesthesia is being used to relieve labor pain and in C-section. It is a very convenient and suitable choice for surgeons, obstetricians, gynecologists and anesthesiologist. But this may have few complications more commonly low back pain, hypotension, nausea/vomiting, paralysis of respiratory muscles and urinary retention. Regional anesthesia is a central nerve blockade technique which involves the injection of an anesthetic given locally into the lower region of the spine, thus blocking the painful impulses that are generated because of contraction of uterus during labor Objective: To determine the risk factor of low back pain in postpartum women. Material and Methods: Retrospective cohort study was conducted via questionnaires from postpartum females of DHQ Gujranwala. These females fall in age group 21-40 years. Convenient sampling technique was used. Sample size of 138 females was taken. Numeric pain rating scale and Roland Morris low back pain and disability questionnaire was used. Result: Our study resulted that the 23.9% women had mild pain, 42.0% had moderate pain and 34.1% women had severe postpartum low back pain. Conclusion: It is concluded that regional anesthesia is a major risk factor for backache in postpartum women of Gujranwala Pakistan. Some women experience severe backache in ADLs. Women experience backache 52.9%, hypotension 25.4%, nausea/vomiting18.8%, paralysis of respiratory muscles 0.7% and urinary retention 2.2%. Key Words: regional anesthesia, postpartum low back pain, DHQ Gujranwala, C-section.

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