A painless cesarean section is a dear wish for every mother who dreams of achieving the dream of motherhood and holding her newborn in her arms, but who fears the pain of childbirth. However, the women who chose Dr. Ahmed Marzouk, consultant in obstetric and gynecological surgery, have been able to achieve this wish, as Dr. Ahmed Marzouk uses the painless-delivery TAP Block injection to make the woman not feel the pain of the cesarean section.

What is painless delivery? It is delivery in which the surgeon tries to relieve the pain of opening the abdomen and the pain of the surgical incision after the delivery operation, through modern medical techniques. Among the most famous of these means that help you go through a painless delivery are the TAP Block device and the PCA device.

My experience with TAP Block at Dr. Ahmed Marzouk's center: Iman recounts her experience saying: 'I never imagined that a cesarean could be this easy and almost without pain in the incision area. Dr. Ahmed is not only a skilled gynecologist, but also an excellent psychologist who cares about the patient's psychological state, follows up on her, and checks on her after the operation. I am very happy with my experience of the painless cesarean section with him.'

What is the TAP Block painless cesarean injection? When a mother undergoes a cesarean section due to her health condition or because of the position of the fetus, she suffers from pain after delivery because of the incision in the lower abdomen once the effect of the anesthesia wears off. However, Dr. Ahmed Marzouk provides the TAP Block technique for painless delivery, a technique in which the abdominal wall is anesthetized via the TAP Block (Transversus Abdominis Plane Block), in which the nerve supplying the abdominal area where the incision is located is anesthetized, thereby stopping the pain signals coming from this area so that they do not reach the brain. This enables the woman to move after the operation without feeling the pain of the incision for up to 24 hours or more, and it also greatly reduces the feeling of incision pain for several days after the operation, as the TAP Block injection significantly relieves the pain of the incision.

The form of the TAP Block injection: The TAP Block needle is an ordinary needle containing a group of strong painkillers that stop the pain signals reaching the abdomen when given to the patient in the area of the abdominal muscles.

What are the steps followed before giving the TAP Block injection? The doctor explains to the mother how the TAP Block injection works and its benefits, and measures blood pressure and pulse. The injection site is sterilized, and the doctor makes sure there is no allergy to any of the injection's components.

What is the TAP Block anesthesia method?

  • The anesthesiologist anesthetizes the patient, either general anesthesia or anesthesia using an epidural injection, according to her health condition.
  • In the case of an epidural injection, the patient is conscious through the stages of delivery.
  • Dr. Ahmed Marzouk makes an incision in the lower abdomen above the pubis.
  • Then he cuts the abdominal muscles until he reaches the uterus.
  • The doctor delivers the baby and cuts the umbilical cord.
  • He removes the placenta from the uterus and closes it with dissolvable stitches.
  • He identifies the appropriate area for the TAP Block injection using an ultrasound device.
  • The TAP Block needle is directed perpendicularly between the abdominal muscles until the tip of the needle reaches the space above the transversus abdominis muscle.
  • He takes care that the needle is not inside a blood vessel.
  • He slowly injects the contents of the syringe, then withdraws the needle.

What are the advantages of painless delivery using the TAP Block?

  • The TAP Block injection relieves pain for a longer time after the cesarean section, as its effect of not feeling the surgical pain continues for up to 24 hours, and often extends to 36 hours.
  • There are no common side effects, since it does not contain the opioids that are part of the composition of other painkillers.

Side effects of the TAP Block needle? The TAP Block needle can cause harm if injected incorrectly or in the wrong place, so it must be injected by a skilled and highly experienced anesthesiologist, which is what Dr. Ahmed Marzouk's center provides.

The TAP Block injection also relieves only the pain of the incision resulting from the cesarean operation and does not relieve uterine pain.

What is PCA? It is one of the modern techniques in painless cesarean delivery, in which the woman receives a dose of strong painkillers such as morphine, fentanyl, and hydromorphone, by connecting the PCA device to the patient's vein through a thin tube attached to a cannula fixed in the woman's hand. After this, the woman is able to walk and move without pain, which reduces the chance of clots occurring after delivery. However, it can cause drowsiness and some stomach pain and constipation.

What is the difference between the TAP Block injection and the PCA? The TAP Block technique differs from the PCA, as the TAP Block is a local anesthetic injected into the abdominal area to relieve only the pain resulting from the incision, so the woman is able to move after the operation without feeling the incision pain for a period ranging between 24 hours and 36 hours. Meanwhile, the PCA device relieves both the incision pain and the uterine pain, as the PCA device contains a group of strong painkillers that are attached via a cannula to the mother's vein after delivery, which release a group of painkillers in specific doses when the device's button is pressed when the mother feels pain.

The doctor, in agreement with the patient, decides the choice between the TAP Block and the PCA according to the patient's health condition, the extent of her sensation and tolerance of pain, whether she suffers from an allergy to one of the types of painkillers, the cost, and a comparison of the advantages and effects resulting from each of the two options.

What is the price of the TAP Block injection in Egypt? The price of a cesarean section using the TAP Block varies as a result of several factors, including the experience of the doctor and his assisting team, the experience of the anesthesiologist, the quality of the hospital in which the operation will take place, the medications used, and the follow-up after the operation.

If you wish to have a painless delivery, you can go to Dr. Ahmed Marzouk's center, consultant in obstetric and gynecological surgery, and his assisting medical team, who have been trained to the highest level and on the latest techniques.