The Effectiveness of Diclofenac for Pain Relieving after Caesarean Section Pathumthani Hospital

Abstract

The Effectiveness of Diclofenac for Pain Relieving after Caesarean Section Pathumthani Hospital

Vivat     Bahuttarechval MD*

*Dipartment of Obstetrics and Gynaecology, Pathumthani Hospital, Pathumthani

Objective: To determine the effectiveness of diclofenac 75 mg intramuscular single dose plus 51 mg orally every 8 hours for 2 days to decrease pain after caesarean section.

Study design: Prospective, randomized controlled study.

Subjects: A total of 60 pregnant underwent caesarean section from various indications in Pathumthani Hospital during January - June 2006 were enrolled.

Methods: All subjects were equally divided into two groups by randomization.  The study group received single dose of declofenac 75 mg intramuscular plus 50 mg orally every 8 hours for 2 days.  The control group received acetaminophen. Opioid analgesics were prepared for severe pain.  Pregnant women underwent caesarean section by the same surgeon. Research assistants interviewed all subjects to evaluate pain by using pain faces scale.

Main outcome measures: Post caesarean section pain score.

Results: Patients' characteristics were not different between two groups.  The pain score at 6 and 24 hours after caesarean section in control group were 5.10.9 and 3.41.4.  In study group, the pain score were 2.50.5 in one subject of study group.  This symptom disappeared after medical management for acute gastritis.

Conclusion: The usage of diclofenac 75 mg intramuscular single singe plus 50 mg orally every 8 hours for 2 days after caesarean section decreased the post-operative pain effectively.  Moreover, there was only one minor complication.

Key word: diclofenac, caesarean section, post operative pain

Vajira Med J 2006 ; 50 : 173 - 178