The extraperitoneal French AmbUlatory cesarean section technique leads to improved pain scores and a faster maternal autonomy compared with the intraperitoneal Misgav Ladach technique: A prospective randomized controlled trial

• DOI: 10.1371/journal.pone.0245645
• Publication Date: 2021-01-22T22:28:14Z
• Authors: Kaouther Dimassi; Ahmed Halouani; Amine Kammoun; Olivier Ami; Benedicte Simon; Luka Velemir; Denis Fauck; Amel Triki
• Keywords: Pain score; Cesarean delivery

Objective To determine whether the French AmbUlatory Cesarean Section (FAUCS) technique reduces postoperative pain and promotes maternal autonomy compared with Misgav Ladach cesarean section (MLCS) in elective conditions. Study design One hundred pregnant women were randomly, but a non-blinded manner, assigned to undergo FAUCS or MLCS. The primary outcome was mean score (PMPS), secondary outcomes combined pain/medication score, time regain autonomy, surgical duration, calculated blood loss, complications, neonatal outcome. Results Women group experienced less than those MLCS (PMPS = 1.87 [1.04–2.41] vs. 2.93 [2.46–3.75], respectively; p < 0.001). Six hours after surgery, for patients 33% lower that (p more rapidly regained 94% reaching within 12 h 4% of There no differences complications between groups. Conclusions Our results indicate can reduce accelerate recovery, suggesting this might be superior should widely used. potentially key difference is includes 100 mcg spinal morphine anesthesia addition same used by FAUCS. Any interpretation apparent must take presence/absence into account.