Pain management in obstetrics and gynecology


  • Ye V Grigimalsky Maternity Hospital “Leleka”, Kyiv, Ukraine
  • A Y Garga Maternity Hospital “Leleka”, Kyiv, Ukraine



pain, NSAIDs, analgesia, gynecology, obstetrics


The problem of acute postoperative pain is present throughout the lifetime of surgery and, unfortunately, does not lose its relevance today. Inadequate pain control in the postoperative period leads to negative consequences. Multimodal analgesia is currently the method of choice for postoperative anesthesia. The basis is the prescription of paracetamol (Infulgan®) in combination or without NSAIDs with the addition of methods of regional analgesia and, in case of insufficient effect, the use of opioid analgesics lies in the basisi of this method. Choosing one or another scheme of multimodal analgesia is determined, above all, is due to the invasiveness of the surgical intervention performed.


Download data is not yet available.


Maier C, Nestler N, Richter H, Hardinghaus W, Pogatzki-Zahn E, Zenz M, et al. The Quality of Pain Management in German Hospitals. Deutsches Aerzteblatt Online [Internet]. Deutscher Arzte-Verlag GmbH; 2010 Sep 10; Available from: DOI:

Brogi E, Kazan R, Cyr S, Giunta F, Hemmerling TM. Transversus abdominal plane block for postoperative analgesia: a systematic review and meta-analysis of randomized-controlled trials. Canadian Journal of Anesthesia/Journal canadien d’anesthésie [Internet]. Springer Nature; 2016 Jun 15;63(10):1184–96. Available from: DOI:

Champaneria R, Shah L, Geoghegan J, Gupta JK, Daniels JP. Analgesic effectiveness of transversus abdominis plane blocks after hysterectomy: a meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology [Internet]. Elsevier BV; 2013 Jan;166(1):1–9. Available from: DOI:

Elkassabany N, Ahmed M, Malkowicz SB, Heitjan DF, Isserman JA, Ochroch EA. Comparison between the analgesic efficacy of transversus abdominis plane (TAP) block and placebo in open retropubic radical prostatectomy: a prospective, randomized, double-blinded study. Journal of Clinical Anesthesia [Internet]. Elsevier BV; 2013 Sep;25(6):459–65. Available from: DOI:

Peng K, Ji F, Liu H, Wu S. Ultrasound-Guided Transversus Abdominis Plane Block for Analgesia in Laparoscopic Cholecystectomy: A Systematic Review and Meta-Analysis. Medical Principles and Practice [Internet]. S. Karger AG; 2016;25(3):237–46. Available from: DOI:

Most Common Inpatient Surgical Procedures. January 28, 2014. Becker's Hospital Review.

Rozen WM, Tran TMN, Ashton MW, Barrington MJ, Ivanusic JJ, Taylor GI. Refining the course of the thoracolumbar nerves: A new understanding of the innervation of the anterior abdominal wall. Clinical Anatomy [Internet]. Wiley; 2008;21(4):325–33. Available from: DOI:

Yeh Y-C, Lin T-F, Chang H-C, Chan W-S, Wang Y-P, Lin C-J, et al. Combination of Low-dose Nalbuphine and Morphine in Patient-controlled Analgesia Decreases Incidence of Opioid-related Side Effects. Journal of the Formosan Medical Association [Internet]. Elsevier BV; 2009 Jul;108(7):548–53. Available from: DOI:

Lee S-C, Wang J-J, Ho S-T, Tao P-L. Nalbuphine Coadministered with Morphine Prevents Tolerance and Dependence. Anesthesia & Analgesia [Internet]. Ovid Technologies (Wolters Kluwer Health); 1997 Apr;84(4):810–5. Available from: DOI:

Chou R, Gordon DB, de Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, et al. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. J Pain. 2016 Feb;17(2):131-57. Available from: DOI:

Carvalho B, Butwick AJ. Postcesarean delivery analgesia. Best Practice & Research Clinical Anaesthesiology [Internet]. Elsevier BV; 2017 Mar;31(1):69–79. Available from: DOI:

Giorgio Capogna (eds.) Anesthesia for Cesarean Section Springer International Publishing (2017). DOI:

Nishimoto RN. OFIRMEV: An Old Drug Becomes New Again. Anesthesia Progress [Internet]. American Dental Society of Anesthesiology (ADSA); 2014 Sep;61(3):99–102. Available from: DOI:

Blanco R, Ansari T, Riad W, Shetty N. Quadratus Lumborum Block Versus Transversus Abdominis Plane Block for Postoperative Pain After Cesarean Delivery. Obstetric Anesthesia Digest [Internet]. Ovid Technologies (Wolters Kluwer Health); 2017 Sep;37(3):164–5. Available from: DOI:

Krohg A, Ullensvang K, Rosseland LA, Langesæter E, Sauter AR. The Analgesic Effect of Ultrasound-Guided Quadratus Lumborum Block After Cesarean Delivery. Anesthesia & Analgesia [Internet]. Ovid Technologies (Wolters Kluwer Health); 2018 Feb;126(2):559–65. Available from: DOI:

Pain management in obstetrics and gynecology



How to Cite

Grigimalsky YV, Garga AY. Pain management in obstetrics and gynecology. PMJUA [Internet]. 2018 Nov. 23 [cited 2023 Feb. 8];3(3):69-73. Available from:



Clinical thinking