Managing postcaesarean section pain with opioid analgesia and the effect on breastfeeding : a literature review

Višić, Uroš (author), Lučovnik, Miha (author)

Introduction: Pain after caesarean section is an expected event that can affect the patient's recovery and first attempts at breastfeeding. The aim of this review was to determine the relationship between opioid pain management after caesarean section and support during the first breastfeeding attempts. Methods: A descriptive method was used to conduct a literature search in the PubMed Central, ScienceDirect, and Google Scholar databases, which included literature published between 2013 and 2023. A combination of the following keywords was used in the search: "pain", "delivery", "opioid", "mobilisation" and "nursing". Primary sources were selected according to predefined inclusion and exclusion criteria. The search process and selection are illustrated using the PRISMA diagram. A thematic analysis was conducted by coding the data retrieved. Results: The literature search yielded nine articles addressing the status of opioid pain management and breastfeeding after caesarean section. The results of the literature search were critically appraised using the MML tool. The main content pertained to the outcomes of identifying different interventions for the management of postoperative pain and initiation of breastfeeding after caesarean section. Discussion and conclusion: In general, patients in different countries were found to be at higher risk of inadequate forms of pain management after caesarean section. We also identified the key research gaps that should be addressed to support further public health interventions for more appropriate pain management and the promotion of and support with breastfeeding after caesarean section.

• Language: English
• Keywords: pain, delivery, opioids, mobilization, nursing
• Work type: Article
• Typology: 1.02 - Review Article
• Organization: MF - Faculty of Medicine
• Publication status: Published
• Publication version: Version of Record
• Year: 2024
• Number of pages: Str. 185-195
• Numbering: Letn. 58, št. 3
• PID: 20.500.12556/RUL-178792
• UDC: 618.5-089.888.61:616-009.7
• ISSN on article: 1318-2951
• DOI: 10.14528/snr.2024.58.3.3256
• COBISS.SI-ID: 208396547
• Publication date in RUL: 30.01.2026

Record is a part of a journal

• Title: Obzornik zdravstvene nege. strokovno glasilo Zveze društev medicinskih sester in zdravstvenih tehnikov Slovenije
• Shortened title: Obzor. zdrav. neg.
• Publisher: Zbornica zdravstvene nege
• ISSN: 1318-2951
• COBISS.SI-ID: 39433728

Licences

• License: CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
• Link: http://creativecommons.org/licenses/by-nc-nd/4.0/
• Description: The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.

Secondary language

• Language: Slovenian
• Title: Obvladovanje bolečine po carskem rezu z opioidno analgezijo in vpliv na dojenje

Abstract

Uvod: Bolečina po carskem rezu je pričakovan dogodek, ki lahko vpliva na okrevanje otročnice in prvo dojenje. Namen tega pregleda je ugotoviti povezavo med obravnavo bolečine z opioidi po carskem rezu in podporo pri dojenju. Metode: Izvedli smo pregled strokovne in znanstvene literature. Iskanje je potekalo po podatkovnih bazah PubMed Central, ScienceDirect in Google Scholar. Vključena je bila literature, objavljena med letoma 2013 in 2023. Pri iskanju so bile uporabljene kombinacije ključnih besed: »bolečina«, »porod«, »opioid«, »mobilizacija« in »zdravstvena nega«. Primarni viri so bili izbrani v skladu z merili za vključitev in izključitev. Postopek iskanja in izbor sta prikazana s pomočjo PRISMA diagrama. Tematska analiza je bila izvedena s kodiranjem reziltatov. Rezultati: Identificirali smo 9 člankov, ki so obravnavali status obvladovanja bolečine z opioidi po carskem rezu. Rezultate smo kritično ovrednotili z orodjem PICO. Glavna vsebina so bili rezultati pri ugotavljanju različnih intervencij za obvladovanje pooperativne bolečine in za začetek dojenja po carskem rezu. Diskusija in zaključek: Na splošno velja, da so otročnice v različnih državah bolj izpostavljene tveganju neučinkovitih načinov obvladovanja bolečine po carskem rezu. Opredelili smo ključne vrzeli, ki bi lahko bile nadaljne področje raziskovanja za ustreznejše obvladovanje bolečine ter podpora dojenju po carskem razu.

• Keywords: bolečina, porod, opioidi, mobilizacija, zdravstvena nega