Oral Self Medication Versus IV Administration of Pain Killers After Caesarian Delivery

Comparison of a Patient Controlled Oral Administration (PCOA) of Analgesic Protocol With an IV Administration After Planned Caesarian Section : Monocentric, Randomised and Controlled Study

C-section deliveries are painful and need adequate analgesia. In the same time, mothers need early rehabilitation to take care of the baby.

Hypothesis: Early oral self administration of painkillers could be as effective as usual IV administration by nursing staff.

Purpose of the study: Evaluation of the efficacy of a program of self administration of painkillers postoperatively of C-section delivery.

Two Arms: PCOA group receiving oral self administered multimodal analgesic protocol and IV group receiving same multimodal analgesic protocol administered by nursing staff.

Inclusion Criteria:

• planned caesarian section

Exclusion Criteria:

• delivery bleeding which requires general anaesthetic and other surgical treatment
• contraindication of the targetted anaesthetic because of hemostatis dysfunctionments
• Signed consent form
• under 18 years old, toxicomania
• do not french speacking
• allergia or contraindication to IMPs
• suffer from chronicle disease
• do not affiliate to a health protection
• do not want to cooperate with the medical staff