STANDARDIZATION OF OBSTETRICAL PRACTICE IN PREVENTING POST - CESAREAN LOW BACK PAIN

Аннотация

Post-cesarean low back pain is a common but often underestimated complication affecting women's quality of life during the postpartum period. Variations in obstetrical practices, including spinal anesthesia techniques, patient positioning, and perioperative care, significantly contribute to the development of this condition. This article aims to evaluate the effectiveness of standardizing obstetrical protocols to prevent low back pain after cesarean delivery. Through a comprehensive review of clinical studies and practical implementation of unified guidelines in selected maternity centers, the study demonstrates that adherence to standardized protocols leads to a significant reduction in the incidence and severity of post-cesarean low back pain. The findings underscore the importance of multidisciplinary coordination among obstetricians, anesthesiologists, and rehabilitation specialists to enhance maternal outcomes and long-term well-being. Keywords: Cesarean section, low back pain, postpartum complications, obstetrical standardization, spinal anesthesia, maternal health, clinical guidelines Introduction. Cesarean section caesarean section ( cesarean section ) today on the day pregnancy in conclusion wide applicable surgery from the methods one is considered . World health storage According to the World Health Organization (WHO), according to , globally all around 15–25% of births cesarean section cutting way with done is being increased. However some in countries, especially developing in the countries this indicator up to 30–40% Uzbekistan This is also the case in the Republic. indicator high is medical and social reasons with explained. Cesarean section cutting many women for necessary was life save remaining practice calculated although, its far term There are also consequences . Among them one — in the waist area to the surface coming Back pain often from the operation next immobilization, spine to the step fallen loading , incorrect in case anesthesia , anesthesia method selection or patient psycho-emotional status with related to be possible . Current cesarean section per day through childbirth world on a scale wide being used surgery from practices one is considered . World health storage organization to https://scientific-jl.com/new 44 77 Volume–82_Issue-1_August-2025 JOURNAL OF NEW CENTURY INNOVATIONS the information according to the world according to every 140 million per year more children are being born and up to 21 percent of which was part cesarean section through done [ 1 ]. Some in countries this The indicator is between 30–50% . is the last in years this indicator increasing [2]. In Uzbekistan , the number of deliveries by cesarean section is also increasing. done increase cases year gradually increasing This is the same as the in turn , this of the process far term consequences , including back pain such as late complications deep requires learning. A cesarean section next to the waist pain is women between wide widespread , but often enough at the level invaluable and incurable problem is considered . Different research this shows that from caesarean section next in the period up to 45–70% of women was back pain in the area is observed and this pain some in cases one how many months or years during preserved remains [3, 4]. Such pains life quality reduces, baby care to do opportunities limits and psychological to health negative impact shows. Back pain etiology many factorial to him operation on time back muscles tension, pain cover received central nerve system sensitivity, incorrect physical activity, psychological stress, and hygienic wrong situations reason to be possible [5]. Therefore, back pain in evaluation clear and subjective from methods use important importance has. Visual analog scale (VAS) is a pain intensity assessment for simple but effective subjective method is, which is from 0 to 10 was digital scale through pain level determination opportunity Research this shows that VAS pain level fast and effective assessment opportunity gives, especially from childbirth next in the period [6]. Thus together, functional tests – such as the Modified Oswestry Disability Index (MODI) or the Roland-Morris Disability Questionnaire (RMDQ) – to assess the patient’s movement activity and life to the quality of pain how impact showing in evaluation help gives [7]. Scientists scientific research from cesarean section next the pain VAS in assessment and functional of tests combined without application further reliable diagnostic indicators to ensure For example , Lee and co-authors by take visited In the study , the patients' VAS scale according to pain indicator and MODI scale according to in motion restrictions between straight away dependency [ 8 ] Similar The results were reported by Wang et al. others also admit reached are , they are patients rehabilitation efficiency in evaluation this two of the method combination offer have reached [9]. With this together, many research from Caesare