The Association Of Free Fluid In The Abdomen After Cesarean Delivery And Postpartum Pain
ePoster
Authors: Chaitali Korgaonkar-Cherala, Stony Brook University Hospital Ingy Khattaby, Stony Brook University Hospital Lena Woo, Stony Brook Renaissance School of Medicine Jane Burgan, Stony Brook Renaissance School of Medicine
Patients with opioid use disorder represent 5% of the obstetric population. Of the people who fill opioid prescriptions in relation to a cesarean delivery, 2.2% of those people will develop persistent opioid use. In the United States, this equates to new onset persistent opioid use in approximately 20,000 women annually. Use of opioid medication in the immediate postpartum period is a predictor of persistent opioid use. Currently, multimodal pain management, and components of the Enhanced Recovery After Surgery (ERAS) protocol are commonly employed to mitigate postpartum pain. However, there are no studies examining the contribution of free fluid in the abdomen after cesarean delivery to postpartum pain. There are no recommendations that address cleaning of the paracolic gutters and how this may reduce post-operative peritoneal irritation. The primary objective of this study is to evaluate the correlation between free fluid in the abdomen postop after cesarean delivery and postpartum opioid use. The secondary outcomes are correlation between free fluid levels postop and postpartum pain scores, and whether cleaning of the paracolic gutters intraoperatively affects free fluid levels postop. We utilize a modified FAST scan to evaluate levels of free fluid in the abdomen after cesarean delivery