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

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Chatwadee Pattarasiriwong
Densak Pongrojpaw
Athita Chanthasenanont
Supapen Lertwutwiwat
Kornkarn Bhamarapravatana
Komsun Suwannarurk


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


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