Acetaminophen / Tramadol Rectal Suppository for the Relief of Perineal Pain after Normal Vaginal Delivery: A randomized controlled trial

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Published: Sep 30, 2018
DOI: https://doi.org/10.14456/tjog.2018.23
Keywords:
acetaminophen/tramadol pain vaginal delivery rectal suppository

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Chatwadee Pattarasiriwong
Department of Obstetrics and Gynaecology, Faculty of Medicine, Thammasat University, PathumThani, Thailand
Densak Pongrojpaw
Department of Obstetrics and Gynaecology, Faculty of Medicine, Thammasat University, PathumThani, Thailand
Athita Chanthasenanont
Department of Obstetrics and Gynaecology, Faculty of Medicine, Thammasat University, PathumThani, Thailand
Supapen Lertwutwiwat
Department of Obstetrics and Gynaecology, Faculty of Medicine, Thammasat University, PathumThani, Thailand
Kornkarn Bhamarapravatana
Department of Preclinical Science, Faculty of Medicine, Thammasat University, PathumThani, Thailand
Komsun Suwannarurk
Department of Obstetrics and Gynaecology, Faculty of Medicine, Thammasat University, PathumThani, Thailand

Abstract

Objective:  To compare the effectiveness of acetaminophen /tramadol rectal suppository and placebo for pain relief after vaginal delivery


Material and method: Two hundred parturient who delivered vaginally were recruited. Twelve cases were excluded. Cases were randomly divided into two groups; study and control group. Acetaminophen/tramadol was given to the study group and placebo in control group immediately after vaginal delivery. Pain level was measured by visual analogue scale at immediate, 6, 12 and 24 hours after delivery. Side effects and additional analgesic medication (acetaminophen) were recorded.


Result: A total of 188 parturients were enrolled. Study and control groups consisted of 98 and 90 cases, respectively. Mean age of cases in this study was 27 years old. Forty percent of cases were nulliparous. All subjects were full term pregnancy with normal BMI (body mass index) and equally demographic character. Pain score measured by VAS (visual analogue scale) in both groups had no significant difference at all times (0, 6, 12 and 24 hours after delivery). There was no adverse event in this study.


Conclusion: Acetaminophen/tramadol rectal suppository could not relieve perineal pain after normal vaginal delivery when comparing to placebo


Keywords: acetaminophen/tramadol, pain, vaginal delivery, rectal suppository

Article Details

How to Cite
(1)
Pattarasiriwong, C.; Pongrojpaw, D.; Chanthasenanont, A.; Lertwutwiwat, S.; Bhamarapravatana, K.; Suwannarurk, K. Acetaminophen / Tramadol Rectal Suppository for the Relief of Perineal Pain After Normal Vaginal Delivery: A Randomized Controlled Trial. Thai J Obstet Gynaecol 2018, 26, 182-189.
Issue
VOL. 26, NO. 3: (July - September 2018)
Section
Original Article

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