Effect of diclofenac rectal suppository on pain relief after medio lateral episiotomy- a placebo controlled trial
Abstract
Objective: To assess the effectiveness of Diclofenac rectal suppository for perineal pain relief after medio-lateral episiotomy. Methods: 100 pregnant women aged 20-35 years with gestational age 39-41 weeks were enrolled for this study and randomly allocated into 2 groups of 50 each to receive 100mg of diclofenac suppository or placebo suppository following medio-lateral episiotomy. Postoperative perineal pain was monitored using pain intensity scale and questionnaire which is scored as 0 = no pain, 1 = mild pain, 2 = discomforting pain, 3 = distressing pain, 4 = horrible pain and 5 = excruciating pain at 24hrs and 48hrs after child birth. Results: Demographic comparison was insignificant between the diclofenac and placebo groups. Patients in the diclofenac group showed significant (p-value 0.022) relief from perineal pain at rest and at movement at 24 hours post-partum when compared with placebo group; the difference being less at 48 hours. Additional analgesia at discharge was required by 21(42%) and 34(68%) patients in diclofenac and placebo groups respectively. Conclusion: The present study suggested that diclofenac has significant analgesic role in reducing perineal pain especially at 24hours after administration.Â
Downloads
Copyright (c) 2017 Asian Journal of Medical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.