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2026 SOAP Annual Meeting
April 29 - May 3, 2026 | Montreal, Quebec Canada
2341204
Associations between patient preferred language and real-time reported pain experienced during cesarean delivery
Poster Presenter
Authors
Alyson Sato, Amanda Fisher, Rachel Waldinger, Heather Nixon, Quetzal Class
Affiliations
University of Illinois College of Medicine at Chicago, Department of Obstetrics and Gynecology, University of Illinois College of Medicine at Chicago, Department of Anesthesiology, University of Illinois College of Medicine at Chicago
Part of Topic
Oral Research Presentations - 3
Associations Between Patient Preferred Language and Real-Time Reported Pain Experienced During Cesarean Delivery
Background:
•Patients with limited English proficiency experience disparities in healthcare, particularly in communication and care quality.
•During cesarean deliveries, pain may contribute to maternal distress during and post-delivery.
•Real-time patient communication is crucial for recognizing maternal pain and intervening.
•Patient language preference is often excluded from pain and delivery experience research.
•Objective: Evaluate the association between language preference and intraoperative pain
Study Design & Methods:
•Retrospective chart review of patients who underwent cesarean delivery with neuraxial anesthesia at the University of Illinois Hospital (UIH).
•Study period: March 2025 – December 2025
•Patient demographics collected from EMR: language preference, delivery characteristics, maximum pain score during the procedure.
•At UIH it is standard of practice for anesthesia providers to query patient pain scores every 15 minutes.
•Maximum pain score was grouped into none (0/10), mild (1-3/10), moderate (4-6/10), and severe (7-10/10).
•Descriptive and bivariate analyses were conducted.
Results:
•When grouped as English versus other languages, no differences in max pain scores were observed [X2 (3)=1.51, p=.68].
•Preferred language was associated with cesarean delivery category [X2 (2)=9.77, p < .01].
•Patients who preferred English had a higher proportion of urgent cesarean deliveries compared to those who preferred a non-English language (51.0% vs 31.8%), while non-English speakers had higher proportion of routine cesarean deliveries (57.6% vs 37.9%).
Conclusions:
•Language preference was not associated with intraoperative maximum pain scores for women undergoing cesarean delivery under neuraxial anesthesia.
oTranslation phone allowing for equal communication as English speaking patients
•Further research is needed to understand relation between language preference and degree of urgency in cesarean delivery