Comparison of the Effect of Diclofenac Suppository and Intravenous Paracetamol on Post Cesarean Pain and Bleeding
Publish place: 1st international congress of perinatology 7th national congress of perinatology & neonatology
Publish Year: 1398
نوع سند: مقاله کنفرانسی
زبان: English
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شناسه ملی سند علمی:
PNMED07_011
تاریخ نمایه سازی: 18 تیر 1398
Abstract:
Background: The cesarean section is one of the most common surgical procedures performed today. Two common complications are pain and bleeding which, if incorrectly controlled, may develop into increased complications. The aim of this research was to compare the effects of diclofenac suppository and intravenous paracetamol on post-cesarean pain and bleeding. Materials and Methods: In this clinical trial, 88 patients (ASA class I and II, 15-45 years old) who underwent elective cesarean under spinal anesthesia were randomly divided into two groups. In the first group, 100 mg diclofenac suppository was administered and in the second group 1g IV paracetamol in 100 ML normal saline was administered immediately after transfer to recovery section and repeated every 6 hours for 24 hours. Pain assessment was done by Visual Analogue Scale (VAS) before intervention and after 6, 12, 18 and 24 hours. The control of postpartum hemorrhage was assessed by clinical examination, measurement of Hemoglobin 6 and 12 hours after surgery and Pad Score. Data were analyzed by repeated measures and independent t-test via SPSS 16. Results: The mean score of pain and severe bleeding in the paracetamol group was significantly lower than in the diclofenac group (p<0.05). Conclusion: According to the results of this study, intravenous paracetamol is more effective than diclofenac suppository in controlling post-cesarean pain and bleeding.
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Authors
Behnaz Molaei
Dept.of Obstetrics and Gynecology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Ramezan Fallah
Dept.of Biostatistics, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Atefeh kazemi
Dept.of Obstetrics and Gynecology, Faculty of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Vahideh Rashtchi
Dept.of Anesthesiology, Faculty of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran