NCT06944912

Transversus Abdominis and Transversalis Fascia Plane Block Combination for Cesarean Section

Combined Transversalis Fascia and Transversus Abdominis Plane Blocks Versus Intrathecal Morphine: Effects on Postoperative Opioid Consumption and Obstetric Recovery After Cesarean Section

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 100 (actual)
• Sponsor: Ataturk University · Academic / Other
• Sex: Female
• Age: 18 Years – 45 Years
• Healthy volunteers: Accepted

Summary

Cesarean delivery rates are rising globally, and effective postoperative analgesia is crucial for maternal recovery and newborn care. While intrathecal morphine offers strong analgesia, it may cause side effects such as nausea, pruritus, or respiratory depression. The transversus abdominis plane (TAP) block provides somatic pain relief but is often insufficient alone. The transversalis fascia plane block (TFPB) has been shown to enhance lower abdominal analgesia. This study aims to evaluate whether combining TAP and TFP blocks can provide analgesic efficacy comparable to intrathecal morphine in cesarean section patients who are unable to receive opioids or are at high risk of side effects.

Conditions

• Ceserean Section and Postoperative Pain

Interventions

Type	Name	Description
PROCEDURE	Transversalis fascia plane block and transversus abdominis plane block	20 ml local anesthetics for Transversus Abdominis Plane block and 10 ml local anesthetics for Trasnversalis fascia plane block
PROCEDURE	Intrathecal Morphine	100 mcg morphine with local anesthetics injected intrathecally

Timeline

• Start date: 2024-01-01
• Primary completion: 2025-01-01
• Completion: 2025-03-01
• First posted: 2025-04-25
• Last updated: 2025-04-27

Locations

1 site across 1 country: Turkey (Türkiye)