Effect of Sacral Erector Spinae Plane Block on Quality of Recovery After Cesarean Delivery: A Prospective Randomized Controlled Trial

Cesarean delivery is one of the most frequently performed major surgical procedures worldwide. The postcesarean period is characterized by moderate to severe pain, which may adversely affect postoperative recovery, patient satisfaction, breastfeeding success, and maternal-infant bonding. Current guidelines recommend a multimodal approach to postcesarean analgesia that reduces opioid consumption and minimizes adverse effects. The Procedure-Specific Postoperative Pain Management working group recommends multimodal protocols for elective cesarean delivery that combine systemic analgesics (regular paracetamol and nonsteroidal anti-inflammatory drugs, neuraxial intrathecal morphine, and/or abdominal wall blocks, such as transversus abdominis plane and quadratus lumborum blocks.

Inclusion Criteria: * Patients aged 18-45 years * American Society of Anesthesiologists (ASA) physical status I-III who can provide informed consent and are scheduled for elective cesarean delivery under spinal anesthesia will be eligible for inclusion. Exclusion Criteria: * Refusal to provide informed consent. * Contraindication to regional anesthesia. * Abnormal coagulation profile. * Infection at the proposed block site. * Emergency surgery. * Allergy to any of the study medications.