Rectal Versus Oral Diclofenac Sodium in Relieving Post Episiotomy Pain

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04331210

Enrollment

1024

Registered

2020-04-02

Start date

2020-09-01

Completion date

2021-10-01

Last updated

2020-04-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Episiotomy Wound

Keywords

Episiotomy

Brief summary

Current study aims to compare oral diclofenac sodium with it's rectal form for analgesia of pain after episiotomy.

Detailed description

* Episiotomy is a surgical incision of the perineum and the posterior vaginal wall. * it can be done at a 60 degree angle from the vulva towards the anus or at an angle from the posterior end of the vulva. * usually under local anesthetic and is sutured after delivery. * It is done during second stage of labor to enlarge the opening for the baby to pass through to avoid soft-tissue tearing which may involve the anal sphincter and rectum. * Perineal pain after episiotomy has immediate and long-term negative effects for women and their babies. These effects can interfere with breastfeeding and the care of the infant. * Usually women undergo episiotomy need a good analgesic to overcome pain resulting from the analgesic. * Previous study by Faiza shafi, Shazia sayed, Naheed bano, Rizwana chaudhri, Holy family hospital, Rawalpindi, Pakistan, The study was published in journal of Rawalpindi medical college and concluded that rectal diclofenac should be further promoted , for pain relief, in women following episiotomy.

Interventions

DRUGDiclofenac Sodium

Group 1 will take oral diclofenac sodium and group 2 will take Rectal diclofenac sodium as an analgesic

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

FEMALE

Age

20 Years to 35 Years

Healthy volunteers

Yes

Inclusion criteria

1. age: 20:35 years. 2. Primigravidae as elective procedure. 3. face to pubis delivery. 4. Big baby. 5. Narrow pelvic arch. 6. Elderly primigravida. 7. old perineal scar as episiotomy or perineorrhaphy. 8. Manipulative delivery. 9. To cut short second stage cases such as pre eclampsia. 10. Premature baby. 11. Fetal distress.

Exclusion criteria

1. more than 35 years. 2. pelvic inflammatory disease.

Design outcomes

Primary

Measure	Time frame	Description
Post episiotomy pain relief	First three days after delivery	The relief of pain after delivery measured by pain relief scale..Pain relief scale Title: pain intensity scale Minimum 0 means no pain Maximum 4 means severe pain

Contacts

Primary ContactMohammed Hosny, Physician

Elto3my@yahoo.com01140762577

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026