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A Pain in the Abs

Predicting Post-Cesarean Analgesia

Wanderer, Jonathan P., MD, MPhil; Nathan, Naveen, MD

doi: 10.1213/ANE.0000000000002918
Infographics: Infographic

Vanderbilt University School of Medicine (

Northwestern University Feinberg School of Medicine (

The Infographic is composed by Jonathan P. Wanderer, MD, MPhil, Vanderbilt University School of Medicine (, and Naveen Nathan, MD, Northwestern University Feinberg School of Medicine ( Illustration by Naveen Nathan, MD.

The authors declare no conflicts of interest.



Although cesarean delivery is one of the most commonly performed surgical procedures in the United States, the ideal postoperative analgesic regimen has yet to be defined. Part of the challenge is understanding a priori which patients are at greatest risk for severe acute pain after surgical intervention. Severe acute pain is associated with increased risk of other complications such as postpartum depression. In this infographic, we review the prevalence of this painful problem, describe work to date on developing bedside tests that could potentially provide accurate predictors of severe acute pain, and discuss pain risk questionnaires that could potentially be utilized to flag high-risk patients in time for effective management changes.

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1. Gamez BH, Habib AS. Predicting severity of acute pain after cesarean delivery: a narrative review. Anesth Analg. 2018;126:1606–1614.
© 2018 International Anesthesia Research Society