Topical lidocaine-prilocaine cream versus rectal meloxicam suppository for relief of post-episiotomy pain in primigravidae: A randomized clinical trial
| Autor: | Mohammed N. Salem, Ahmed Y. Abdelbadee, Ahmed M. Abbas, Mustafa Bahloul, Abdel Ghaffar M. Ahmed, Fatma Magdy, Abo Bakr A. Mitwaly |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Episiotomy Lidocaine/prilocaine Adolescent Visual analogue scale Administration Topical medicine.medical_treatment Gravidity Suppository Meloxicam Prilocaine law.invention Young Adult 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Pregnancy law Humans Medicine Anesthetics Local Pain Postoperative 030219 obstetrics & reproductive medicine business.industry Suppositories Anti-Inflammatory Agents Non-Steroidal Lidocaine Obstetrics and Gynecology Clinical trial Reproductive Medicine 030220 oncology & carcinogenesis Anesthesia Female Analgesia business medicine.drug |
| Zdroj: | Journal of Gynecology Obstetrics and Human Reproduction. 49:101722 |
| ISSN: | 2468-7847 |
| DOI: | 10.1016/j.jogoh.2020.101722 |
| Popis: | Objectives To compare the analgesic effect of topical lidocaine-prilocaine (LP) cream and rectal meloxicam suppository on the post-episiotomy pain in primigravidae. Patients and methods A randomized open-label clinical trial included primigravidae delivered vaginally with episiotomy. Eligible women were recruited and randomized to topical LP cream on the episiotomy line or rectal meloxicam suppository 15 mg. The intensity of the perineal pain was assessed using a visual analog scale (VAS) immediately, at 6, 12 h and after 5 days post-episiotomy. Results One hundred ninety women were enrolled (n = 95 in each arm). No difference between both groups in the VAS scores immediately (mean ± SD: 8.54 ± 1.35 vs. 8.33 ± 1.50, p = 0.419) and 6 h after episiotomy (p = 0.859). However, women in the LP arm were more likely to report lower VAS scores at 12 h and 5 days post-episiotomy (mean ± SD: 1.20 ± 0.50 vs. 5.65 ± 1.65, p = 0.0001; 1.19 ± 0.49 vs. 2.64 ± 1.73, p Conclusion Application of topical LP cream after repair of episiotomy in primigravidae seems to substantially alleviate the induced pain with subsequent less need for additional analgesia and more patients’ satisfaction. |
| Databáze: | OpenAIRE |
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