{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:07:27Z","timestamp":1785816447044,"version":"3.56.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medicine"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to assess the incidence and associated factors of acute postoperative pain after cesarean section within the first 24\u2009h of postoperative period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An institutional-based prospective observational study was conducted on parturients who had undergone cesarean section in Gandhi Memorial Hospital from 1 December 2019 to 28 February 2020. A numerical rating scale was used to evaluate the incidence of acute postoperative pain. Patients having a pain score of &gt;4 were considered having moderate-to-severe pain on numerical rating scale. Data were analyzed using SPSS version 20. Bivariable and multivariable logistic regression were used to assess the association of variables. A p value of less than 0.05 was taken as significant association with dependent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>In total, 290 parturients participated in the study with a response rate of 98%. Moderate-to-severe acute postoperative pain after cesarean section was 76.2% (95% confidence interval: 71%, 81%) in the first 24\u2009h postoperatively. On multivariable analysis, previous cesarean section history (adjusted odds ratio: 2.80, 95% confidence interval: 1.40, 5.55; p\u2009=\u20090.003), preoperative anxiety (adjusted odds ratio: 2.70, 95% confidence interval: 1.45, 5.05; p\u2009=\u20090.003), transverse incision type (adjusted odds ratio: 3.35, 95% confidence interval: 1.67, 6.72; p\u2009=\u20090.002), and incision length (adjusted odds ratio: 2.46, 95% confidence interval: 1.24, 4.85; p\u2009=\u20090.009) were identified as risk factors for postoperative moderate-to-severe acute pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The incidence of moderate-to-severe postoperative pain was high in the first 24-h postoperative period; this indicates that pain management after cesarean section was treated inadequately. History of previous cesarean section, preoperative anxiety, transverse incision, and incision length &gt;10\u2009cm were the factors of postoperative acute pain after cesarean section. Therefore, we suggest the study institution develop a protocol for pain management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20503121221133190","type":"journal-article","created":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T09:00:00Z","timestamp":1666688400000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Incidence and associated factors of acute postoperative pain within the first 24\u2009h in women undergoing cesarean delivery at a resource-limited setting in Addis Ababa, Ethiopia: A prospective observational study"],"prefix":"10.1177","volume":"10","author":[{"given":"Dagim","family":"Bimrew","sequence":"first","affiliation":[{"name":"Department of Anesthesia, College of Medicine and Health Science, Dire Dawa University, Dire Dawa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5575-4817","authenticated-orcid":false,"given":"Abebaw","family":"Misganaw","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, School of Medicine, Debre Markos University, Debre Markose, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirbo","family":"Samuel","sequence":"additional","affiliation":[{"name":"School of Anesthesia, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tenbite","family":"Daniel Desta","sequence":"additional","affiliation":[{"name":"School of Anesthesia, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7848-1279","authenticated-orcid":false,"given":"Samuel Debas","family":"Bayable","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, School of Medicine, Debre Markos University, Debre Markose, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,25]]},"reference":[{"issue":"5","key":"bibr1-20503121221133190","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1185\/03007995.2016.1163001","volume":"32","author":"Meissner W","year":"2016","journal-title":"Curr Med Res Opinion"},{"key":"bibr2-20503121221133190","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000513526.33816.0e"},{"issue":"2","key":"bibr3-20503121221133190","volume":"3","author":"Cohen M","year":"2018","journal-title":"Pain Rep"},{"key":"bibr4-20503121221133190","first-page":"3710312","volume":"2016","author":"Kornilov N","year":"2016","journal-title":"Pain Res 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