Pain management SOP for Obstetrics and gynaecology ward
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OB/GYN pain management SOP guidelines 2024 obstetrics gynaecology ward protocol
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pain management obstetrics gynaecology ward SOP protocol analgesics
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pain management obstetrics gynecology multimodal analgesia
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Pain Management SOP OBG
Word Document · DOCX
What's inside the document
The SOP is a fully formatted, 19-section Word document (~29 KB) with a branded cover page, running header/footer with auto page numbers, colour-coded tables, and shaded alert boxes. Here is a full outline of what it covers:
| Section | Content |
|---|---|
| 1–3 | Purpose, Scope, Definitions |
| 4 | Pain Assessment — tools (NRS/FLACC), frequency schedules, targets |
| 5 | 4-Step Analgesic Ladder — non-opioids, weak opioids, strong opioids, regional techniques with full drug doses |
| 6 | Labour Pain — non-pharmacological methods, stepwise intrapartum protocol, epidural monitoring checklist |
| 7 | Post-Caesarean (ERAC) — intra-op regimen, 0–24 h and 24–72 h drug schedules, mandatory respiratory monitoring table for neuraxial opioids |
| 8 | Post-Gynaecological Surgery — laparoscopy, laparotomy/hysterectomy, vaginal surgery, hysteroscopy, IUD insertion |
| 9 | Medical Gynaecology — dysmenorrhoea, PID, ectopic/miscarriage, endometriosis, ovarian cyst |
| 10 | Special Populations — pregnant (trimester-specific drug safety), breastfeeding, OUD, hepatic impairment, renal impairment |
| 11 | Adverse effects and monitoring (including LAST emergency protocol) |
| 12 | Opioid Stewardship rules |
| 13 | Non-pharmacological adjuncts |
| 14–15 | Documentation requirements, Roles & Responsibilities |
| 16 | Pain Escalation Pathway (4-step) |
| 17–18 | Training & Competency, Review & Audit metrics |
| 19 | References (SOAP/ACOG 2024, ACOG 2025, NICE, RCOG, WHO, Miller's Anesthesia) |
| Appendix A | Quick-reference drug dose table |
| Appendix B | NRS action guide + Sedation Score table |
| Appendix C | Version history |
Key evidence incorporated:
- SOAP/ACOG 2024 consensus: scheduled NSAIDs + paracetamol post-caesarean; ketorolac IV 24–48 h then oral NSAID; OUD-specific guidance
- ACOG Clinical Consensus 2025: paracervical block + pre-procedure NSAIDs for in-office procedures
- Mansour et al. 2025 meta-analysis (PMID 40068734): ESP block vs TAP block post-caesarean
- ERAC (Enhanced Recovery After Caesarean) principles throughout
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