Pregnant women after vaginal delivery with 2nd or 3rd degree perineal tear and requires perineorrhaphy. perineorrhaphy Entonox 50% nitrous oxide Vaginal delivery perineal tear
Conditions
Interventions
Patients who matched the inclusion and exclusion criteria and were randomized into this group. Patients would underwent on oxygen gas inhalation during perineorrhaphy with local xylocaine injection.,P
Treatment,Treatment
Oxygen inhaled group,Entonox inhaled group
Sponsors
Faculty of Medicine Siriraj Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1.pregnant women with age of 18 or above 2.Vaginal delivery with perineal tear 3.2nd or 3 rd degree perineal tear 4.Volunteer participants
Exclusion criteria
Exclusion criteria: 1.Patient with postpartum complication whic need immediate treatment 2.Patients who receive other anesthetic methods except local anesthesia by xylocaine injection at wound 3.Patients who receive pethidine injection within 2 hours before delivery 4.Patients with anemia and abnormal red blood cells size 5. Patients with intrauterine fetal death 6. Patients with perineal lesion 7. Patients with abnormal sensation at lower body part, below umbilicus 8. Patients with drug allergy to xylocaine 9. Patients who can not communicate influently in Thai or can not understand consent form before sign 10. Patients who contraindicated for using nitrous oxide e.g. pneunmothorax, pneumopericardium, severe bullous emphysema, gas embolus, severe head trauma, recent intraocular injection of gas, heart failure, severe impaired cardiac function, cognitive dysfunction, sign of increase intracranial pressure, vitamin B12 deficiency, folic acid deficiency, facial injury, recent dive, recent cardiopulmonary bypasswith heart-lung macne, coronary bypass without heart-lung machine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score at 5 minutes after finish and discontinue all invertions after perineorrhaphy Visual analog scale | — |
Secondary
| Measure | Time frame |
|---|---|
| satisfaction at 5 minutes after finish and discontinue all invertions after perineorrhaphy questionaire | — |
Countries
Thailand
Contacts
Public ContactPaphanun Yindeearrom
Faculty of Medicine Siriraj Hospital, Mahidol university
Outcome results
None listed