The Effect of TAP Block on Maternal-Infant Bonding

Adiyaman University Research Hospital

Status: Not yet enrolling

Conditions: Transversus Abdominis Plane (TAP) Block; Cesarean Section

Treatments: Procedure: Transversus abdominis plane (TAP) block

Study type: Interventional

Funder types: Other

Identifiers

NCT06858891

ADYU-NYILMAZ--007

Details and patient eligibility

About

Cesarean delivery is a common surgical procedure that is typically performed under spinal anesthesia. Postoperative pain management has a significant impact on both the mother's physical recovery and the quality of maternal-infant bonding. The quality of maternal-infant bonding is influenced by various factors, including postoperative pain, early mobilization, initiation of breastfeeding, stress, psychological status, and hormonal balance. Studies have reported that adequate postoperative pain management, early breastfeeding, and early mobilization have positive effects on maternal-infant bonding.

Transversus abdominis plane (TAP) block is a regional anesthesia technique known for its efficacy in controlling postoperative pain. Bilateral TAP block performed after cesarean section has been associated with lower pain scores, reduced analgesic consumption, and shorter hospital stays. However, its impact on maternal-infant bonding has not been fully elucidated.

This study aims to investigate the effect of bilateral TAP block on maternal-infant bonding in women undergoing cesarean section under spinal anesthesia.

Full description

This study aims to investigate the effect of TAP block on maternal-infant bonding in women undergoing cesarean section under spinal anesthesia. Participants will be randomly assigned to two groups: one group will receive a TAP block in addition to standard care, while the other group will receive only standard pain management. Maternal-infant bonding will be assessed using the maternal bonding scale and behavioral evaluations at 48 hours and one month postpartum.

The primary outcome is to evaluate whether the TAP block improves early bonding by reducing pain and enhancing maternal comfort. Secondary outcomes include maternal pain scores, mobilization time, and initiation of breastfeeding. This study aims to contribute to the optimization of pain management strategies in cesarean deliveries, ultimately improving both maternal recovery and neonatal outcomes.

Enrollment: 132 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 aged or older patients,
• Agree to participate in the study
• Pregnant women without any maternal or fetal pathology during the pregnancy.

Exclusion criteria

• <18 age
• Deny to participate in the study
• maternal or fetal pathology during the pregnancy
• Allergy to local anesthetics
• local ingection at block side

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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132 participants in 2 patient groups

Control group

No Intervention group

Description:

standard pain management

Block group

Experimental group

Description:

standard pain management + Bilateral TAP block

Treatment:

Procedure: Transversus abdominis plane (TAP) block