Although epidural analgesia results in a small improvement in acute post-abdominal surgery pain compared to transversus abdominis plane block, the magnitude is small and associated with post-op hypotension.
Transversus abdominis plane & quadratus lumborum block both offer equivalent analgesia benefit following caesarean section in the absence of intrathecal morphine, although little or know benefit if intrathecal morphine is used.
General anaesthesia for emergency caesarean section is associated with the shortest time-to-incision but also lower 5-min Apgar scores. Longer time-to-incision is not associated with worse neonatal outcomes.
Both elective (OR 1.47, 1.16-1.86) and emergency (OR 1.53, 1.22-1.91) caesarean section is associated with mild postpartum depression in this network meta-analysis.