• Nicole P Yost, Steven L Bloom, Miriam K Sibley, Julie Y Lo, Donald D McIntire, and Kenneth J Leveno.
• Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, and Parkland Health and Hospital System, Dallas, Texas 75390-9032, USA. nicole.yost@utsouthwestern.edu
• Am. J. Obstet. Gynecol. 2004 May 1;190(5):1341-6.

ObjectiveWe undertook this study to systematically assess prevailing pain management regimes used at our hospital in women after cesarean delivery.Study DesignBetween August 1999 and July 2000, all women delivered by cesarean section at Parkland Hospital were assigned to 1 of 4 different pain management strategies: (1). intramuscular (IM) meperidine, (2). patient-controlled analgesia (PCA) meperidine, (3). IM morphine sulfate, and (4). PCA morphine sulfate. A combination of methods were used to compare these different pain management strategies. A survey questionnaire, using Likert scale responses, was administered to evaluate maternal satisfaction with pain control. Visual Analog Scale (VAS) scores and information regarding breastfeeding and rooming-in were also collected.ResultsA total of 1256 women were allocated to the 4 analgesia study groups. The median meperidine dosages for the IM and PCA groups were 350 mg and 600 mg, respectively (P ConclusionPain relief was superior with the morphine regimens used and was positively associated with breastfeeding and infant rooming-in.

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