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The purpose of this study to determine the association between postoperative pain after cesarean section and several single nucleotide polymorphisms in SCN9A sodium channels gene.
SCN9A gene encodes an alpha subunit of the voltage-gated sodium channel (Nav1.7) and polymorphisms of this gene are associated with severe pain disorders. The impact of the polymorphisms in SCN9A on postoperative pain and opioid consumption after cesarean section is unclear.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cesarean section | Procedure | Women in 36 to 40 weeks of pregnancy undergoing cesarean section by Pfannenstiel technique | ||
| Opioid Tramadol | Drug | Tramadol will be administered via patient controlled analgesia (PCA) pump in the postoperative period |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain | The pain will be evaluated with the visual analog scale | up to postoperative 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid consumption | The total amount of the tramadol administered to the patient will be recorded | Up to postoperative 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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The women in 36 to 40 weeks of pregnancy undergoing cesarean section will be included
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| Name | Affiliation | Role |
|---|---|---|
| Tugba Karaman, M.D. | Gaziosmanpasa University Medical School | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gaziosmanpasa University Medical School Hospital | Tokat Province | 60100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D002585 | Cesarean Section |
| D014147 | Tramadol |
| ID | Term |
|---|---|
| D036861 | Delivery, Obstetric |
| D013513 | Obstetric Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D003511 | Cyclohexanols |
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Two ml blood will be collected from the peripheral venous before the operation and all blood samples will be stored at -80℃. Genomic DNA will be extracted from the blood samples and polymorphism in SCN9A gene will be identified by PCR
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D000441 | Hexanols |
| D005233 | Fatty Alcohols |
| D000438 | Alcohols |
| D009930 | Organic Chemicals |
| D004123 | Dimethylamines |
| D008744 | Methylamines |
| D000588 | Amines |
| D008055 | Lipids |