the pain of postoperative cesarean section
Conditions
Interventions
Experimental group
Control group
Sponsors
MOGADISHU SOMALI TURKEY RECEP TAYYIP ERDOGAN EDUCATION AND RESEARCH HOSPITAL
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Pregnant women between the ages of 18-40 2. Having pregnancy between 37-42 weeks 3. Women who were delivered by cesarean 4. Pregnant women with BMI <35 5. Additional operations will be performed outside cesarean section pregnant women 6. Pregnant women volunteering to enter the study. 7. Primer cesarean sections
Exclusion criteria
Exclusion criteria: 1. Pregnant women who do not want to participate in the study 2. Pregnant women with severe adhesion in operation 3. Pregnant women with BMI> 35 4. Pregnant women who underwent other operations during cesarean 5. Pregnant women who have previous cesarean sections
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| If the efficacy of the locally used etofenamate spray can be confirmed by our study, the amount of systemic analgesic used can be reduced. Cesarean operation is increasing in all over the world and in our country. Paracetamol, diclofenac sodium and opioids are usually used in the fight against post-cesarean pain. Of these drugs, paracetamol is safe after cesarean but has low efficacy and can be side effects to liver in its frequent use. Diclofenac sodium is also an effective drug, but it requires repeated doses and can pass into milk and cause side effects to the kidneys. Opioids have high efficacy, but they can undergo both mother and milk and cause respiratory depression. These drugs used are all systemically administered. We aimed to provide both analgesic effect and reduce the dose of other systemic drugs by using the etofenamate (doline 50 ml) spray locally around the incision. A total of 200 patients who come to our hospital from all parts of Somalia are randomly ordered (single and double) in order to come up with the number 1 spray (ethofenamate spray) to the number 1, 2 to 2 number 2 to the number 2 times to the incision. It will be tightened. The study is planned as double-blind and placebo-controlled. Serum physiologic will be put into spray No. 2. Practitioner assistant and patient box contents will not know. The application will be performed 4 times in total 24 hours postoperatively. All patients will receive paracetamol IV as standard analgesic doses. If analgesic is insufficient, tramadol 50 mg doses will be added and recorded. Visually numerical pain scale (VNS) will perform to both groups at 0-6-12-24. hours. Demographic data, duration of operation, type of anesthesia, need for additional operation, incision size, additional analgesic need, VNS data will be recorded. When sufficient number of patients are reached, all data are transferred to SPSS environment and statistical analysis is done and then writing is started. | — |
Secondary
| Measure | Time frame |
|---|---|
| If the effect of local etofenamate spray is shown, the use of less systemic analgesics will result in less complications and less cost. If the efficacy of the locally used etofenamate spray can be confirmed by our study, the amount of systemic analgesic used can be reduced. Cesarean operation is increasing in all over the world and in our country. Paracetamol, diclofenac sodium and opioids are usually used in the fight against post-cesarean pain. Of these drugs, paracetamol is safe after cesarean but has low efficacy and can be side effects to liver in its frequent use. Diclofenac sodium is also an effective drug, but it requires repeated doses and can pass into milk and cause side effects to the kidneys. Opioids have high efficacy, but they can undergo both mother and milk and cause respiratory depression. These drugs used are all systemically administered. We aimed to provide both analgesic effect and reduce the dose of other systemic drugs by using the etofenamate (doline 50 ml) spray locally around the incision. A total of 200 patients who come to our hospital from all parts of Somalia are randomly ordered (single and double) in order to come up with the number 1 spray (ethofenamate spray) to the number 1, 2 to 2 number 2 to the number 2 times to the incision. It will be tightened. The study is planned as double-blind and placebo-controlled. Serum physiologic will be put into spray No. 2. Practitioner assistant and patient box contents will not know. The application will be performed 4 times in total 24 hours postoperatively. All patients will receive paracetamol IV as standard analgesic doses. If analgesic is insufficient, tramadol 50 mg doses will be added and recorded. Visually numerical pain scale (VNS) will perform to both groups at 0-6-12-24. hours. Demographic data, duration of operation, type of anesthesia, need for additional operation, incision size, additional analgesic need, VNS data will be recorded. When sufficient number of patients are reache | — |
Countries
Somalia
Contacts
Public ContactSamaara Hassan
Nurse
Outcome results
None listed