Abstract 6. (2)1




Post-Operative Analgesia for Major Abdominal Obstetric and Gynaecologic Operations in University of Calabar Teaching Hospital, Calabar, Nigeria.




M. Ekott, I. Illori, O. Udofia, E. Ekanem, A. Okpe 


Surgery is invariably associated with pain in the postoperative period. Its relief is paramount in the care of the surgical patients, yet postoperative analgesias is often under-managed. This study was undertaken among 130 patients who had major abdominal obstetric and gynaecological surgeries in Calabar to evaluate the degree of pain experienced by patients, the drugs used for postoperative pain relief, and other factors that influenced pain relief. The patientsí pain experience in the first 48 hours of surgery was assessed using verbal rating. Their views on their pain management were obtained at exit point and the drug regimen used in the postoperative period was obtained from case notes. The result showed that 115 (91.6%) patients experienced moderate to severe pains in the postoperative period. Use of single analgesic agent predominated in 126 (97%) cases with intramuscular pentazocine or pethidine prescribed for 91 (70%) and 33 (25.4%) patients respectively. Eighty-two patients (62.3%) received less than 50% of the prescribed analgesics. Dose intervals beyond duration of action of drugs, poor compliance with drug administration by ward staff, and poor sensitivity to patientsí painful experience militated against good postoperative pain relief. There is need for surgeons to collaborate with anaesthetists in the supervision of postoperative pain relief and implement multimodal analgesia.


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