Health Condition 1: O998- Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium
Conditions
Interventions
Intervention1: Ketorolac low dose as an add on to paracetamol for post-caesarean analgesia: Group A- low dose- IV paracetamol 1 g given at the time of skin closure and then 8 hourly up to 24 hours. IV
Sponsors
Postgraduate Institute of Medical Education and Research, Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: Willing to take part in the study, Singleton pregnancy, ASA II, Scheduled elective lower segment cesarean section under spinal anaesthesia, Pfannenstiel skin incision, POG- 37 to 40 weeks
Exclusion criteria
Exclusion criteria: Refusal to give consent, History of peptic ulcer or GI bleed, allergy or contraindication to Ketorolac or paracetamol, ASA III or above, Renal or hepatic dysfunction, severe pre-eclampsia, contraindication to spinal anesthesia, chronic opioid use or analgesia dependence, emergency or unscheduled cesarean section, pre exisiting chronic pain disorder or psychiatric disease interfering with pain assessment, use of general anesthesia, failure of spinal anesthesia, intraoperative blood loss more than 1 litre.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pain intensity will be assessed using the Numeric Rating Scale.Timepoint: at 2 hours, 4 hours, 6 hours, 12 hours, 18 hours and 24 hours post surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Total Rescue Analgesia requirementTimepoint: 24 hours;Time to first rescue analgesiaTimepoint: ;Incidence of adverse effects like nausea, vomiting, gastrointestinal side effects, renal dysfunctionTimepoint: ;Time to initiation of breastfeedingTimepoint: ;Time to first ambulationTimepoint: ;Patient satisfaction scoreTimepoint: | — |
Countries
India
Contacts
Public ContactDr Eden Vidwisha Tamang
Postgraduate Institute of Medical Education and Research
Outcome results
None listed