Evaluation of postoperative pain after pfannensteil kerr versus misgav ladach method of lower segment caesarean section

Background: Pain post caesarean is discomforting and drives the mothers to seek help. It would be useful to know if any change in surgical technique could have effect on the post-operative pain which affects the woman’s activities. Hence, the study was undertaken to note the difference in postoperative pain on performing lower segment caesarean section by Pfannensteil Kerr and Misgav Ladach method. Method: It was an interventional study done over one year in a tertiary care hospital. Detailed history, investigations, operative details and postoperative pain was recorded and analysed. Results: Women in the Pfannensteil Kerr method group had more postoperative pain P value was highly significant at 2 h (<0.001), 8h (P<0.001), 16h (P<0.001), 24h (P=0.014) and 32h (P=0.005), 40 hour (P=0.027) and 48h (P=0.032).Conclusion: Misgav Ladach method was a better technique than Pfannensteil Kerr in terms of postoperative pain and comfort. Hence, it results in considerable reduction in maternal morbidity and better patient satisfaction level and thus should be the preferred method to perform caesarean section.