pain after cesarean. Delivery by elective caesarean section
Conditions
Interventions
Intervention 1: Group1: 20 ml of 1% xylocaine containing 10mcg/ml epinephrine will be injected at outer 1/4 portion of the line between umbilicus and upper anterior iliac crest , in lateral part of r
Treatment - Drugs
Group1: 20 ml of 1% xylocaine containing 10mcg/ml epinephrine will be injected at outer 1/4 portion of the line between umbilicus and upper anterior iliac crest , in lateral part of rectus abdominus
Group2: 20 ml of 1% xylocaine containing 10mcg/ml epinephrine will be injected in subcutaneous tissue in the manner of infiltrating the whole wound, before closure of the abdominal wall.
Group3: 10 ml of 1% xylocaine containing 10mcg/ml epinephrine will be injected at outer 1/4 portion of the line between umbilicus and upper anterior iliac crest , in lateral part of rectus abdominus
Group4: 20 ml normal saline will be injected before closure of subcutaneous tissue.
Sponsors
Vice chancellor for research,Tabriz University of Medical Sciences , Women Fertility Health Research
Eligibility
Sex/Gender
Female
Age
25 Years to 35 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria are the following: term pregnancy; one previous cesarean section; low transverse scar on the abdomen ; elective cesarean section with transverse incision on the skin and lower uterine segment: age between 25 to 35 ; spinal anesthesia; tendency of the patient to participate in the study. Exclusion criteria are the following: Emergent cesareans; underlying diseases like liver and kidney dysfunction and impaired hemostasis and … ; history of previous surgery at the surgical site or on the suprapubic site except cesarean section; low midline scar on the abdomen ; Positive history of smoking or drug abuse; drug sensitivity to topical analgesics .
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post cesarean pain. Timepoint: 0.5 ,1 ,2 ,3 ,6 ,12 ,24 hour. Method of measurement: visual analogue scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Rate of cesarean wound healing and repair. Timepoint: 2 ,3 ,7 day after cesarean. Method of measurement: physical examination. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr.Nazli Navali
Tabriz University of Medical Sciences, Faculty of medicine, Obstetrics and gynecology group
Outcome results
None listed