Post Cesarean Pain Management
Conditions
Brief summary
Cesarean deliveries are prevalent. Unlike other operations, quick recovery is required for the mother to nurture the newborn child and establishing an appropriate mother-child bonding.
Detailed description
Cesarean deliveries are prevalent. Unlike other operations, quick recovery is required for the mother to nurture the newborn child and establishing an appropriate mother-child bonding. Therefore, effective pain management is crucial. In this study we would like to compare between two pain relievers' administration protocols: 1. Oral pain relievers' administration in fix protocol without need for patient demand 2. Spinal morphine given during the spinal anesthesia in the cesarean section
Interventions
DRUGTramadol hydrochloride
Please see arm description
DRUGMorphine
Please see arm description
DRUGParacetamol
DRUGDiclofenac
DRUGTAB. Percocet (Oxycodone 5MG/Paracetamol 325 MG)
Sponsors
HaEmek Medical Center, Israel
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* women that underwent cesarean section with sinal anesthesia
Exclusion criteria
* Women who suffer from chronic pain * Women using chronic pain medications * Women with allergy to any drug used in the study * Women underwent general anesthesia during the surgery * Women who suffer from sleep apnea * Women who suffer from obesity (BMI\>40) * Women who suffer from severe nausea and vomiting after previous surgery * Women who received perioperative magnesium * Women who suffer from hypertension * Women who suffer from renal failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The efficacy of pain management | during 48 hours from surgery | Pain sensation will be assessed using the NRS scale (numeric rating scale) for measurement of acute pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The necessity of additional medications (rescue doses) | During 48 hours after surgery | — |
| Adverse effect of the medications given in each protocol on the mother and neonates | during 48 hours following surgery | — |
| Patient satisfaction | 48 hours after surgery | Each patient will fill in a satisfaction questioner which is given 48 hours after surgery |
| Total amount of pain medications required in each study group | during 48 hours following surgery and after 7 days | — |
| The efficacy of pain management during 4 days past surgery | during 4 days past surgery | Pain sensation will be assessed using the VAS scale |
| To compare the amount of breastfeeding between 2 groups | Following the week after surgery | — |
Countries
Israel
Outcome results
None listed