Operational definitions
Acute Postoperative Pain: pain present in a surgical patients soon after surgical procedures.(26).
Cesarean Delivery:  the delivery of a fetus through surgical incisions made through the abdominal wall (laparotomy) and the uterine wall (hysterectomy)(27).
Patient Satisfaction:   a subjective measure of whether a patient’s expectations about a health encounter were met.(11)
5-Likert Scale ;A type of psychometric response scale in which respondents specify their level of satisfaction to a statement in five points used to measure satisfaction level(28).
Systemic Analgesia: opioids and/ or non-opioids analgesic drugs given for postoperative pain (29).
NRS; is a subjective measure in which individuals rate there pain on an eleven point numerical scale. The scale is composed of 0(no pain at all) to 10(worst imaginable pain)(29).

Data collection instrument, procedures and quality control

The training was given to data collectors by the principal investigator to make them familiar with the data collection tool.  Data was collected via patients‟ chart review, and interviewing Pain intensity was measured based on verbally responded numerical rating scales (VNRS). During data collection, regularly supervised and follow-up will be undertaken by supervisors daily and with further cross-checks by the principal investigator for completeness and consistency of data. Data clean up and crosschecking of missing data were done by multiple imputation methods before analysis on SPSS.