Introduction: Caesarean delivery (CD) has been one of the most frequently performed major surgical interventions and subsequent manipulation performed through Pfannenstiel incision are associated commonly with a significant degree of pain in postoperative period. The use of a conventional opioid and NSAIDs has never been without side effects for mothers after the cesarean section. Abdominal field blocks were among alternative techniques for postoperative pain management after the cesarean section.
Methods: 70 Parturients of ASA grade II undergoing elective caesarean operation requiring spinal anaesthesia were included for this prospective comparative study. They were received spinal anaesthesia with 1.8-2 ml of 0.5% bupivacaine heavy at L2-L3 or L3-L4 intervertebral space depending on individual's height. At the end of surgery, group T were received bilateral transverse abdominis plane (TAP) and group I were received (iliohypogastric ilioinguinal) II-IH nerve block.
Results: The VAS score at rest were significantly different between 2 groups at all time points (p < 0.05 which is statistically significant). The VAS score at movement/cough were comparable in both the groups at 0hr, 4th hr and 6th hr (p > 0.05, hence there was no statistically significant difference between 2 groups). But there was significant difference in VAS score between the groups at 8th, 12th, and 24th hrs (p < 0.05 is statistically significant). The mean paracetamol consumption is high in II – IH block group than TAP block group and the mean difference is statistically significant (p < 0.05). The first analgesia request time is less in II – IH block group than TAP group and the mean difference is statistically significant (p < 0.05).
Conclusion: TAP block for post caesarean delivery pain significantly reduced the total paracetamol consumption and prolonged the time to first analgesic request than II-IH nerve block.
Keywords: TAP block, II-IH nerve block, caesarean delivery, postoperative analgesia
How to cite this article: Manasa G, Darshan MS, Bennur SK, Efficacy Of Bilateral Transversus Abdominis Plane And Ilioinguinal Iliohypogastric Nerve Blocks For Postcaserean Delivery Pain Relief Under Spinal Anaesthesia. Int J Drug Deliv Technol. 2026;16(3s): 53-60; DOI: 10.25258/ijddt.16.3s.7