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This randomized controlled trial, compared postoperative pain score in patient undergoing cesarean delivery between bupivacaine peritoneal and subcutaneous infiltration and diclofenac intramuscular injection
Postoperative cesarean delivery was painful that can effect daily activity, resulted in poor quality of life and required morphine injection to relief pain which had both maternal and breastfeeding infancy side effect. So this study compare efficacy of diclofenac and bupivacaine by measured the pain score and requirement of morphine injection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Bupivacaine | Experimental | 0.5% bupivacaine 20ml divided in two; 10 ml intraperitoneal infiltration and 10 ml subcutaneous infiltration |
|
| Group Diclofenac | Active Comparator | diclofenac 75 mg intramuscular, 2 hours postoperation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bupivacaine | Drug | 0.5% bupivacaine 20ml divided in two; 10 ml intraperitoneal infiltration and 10 ml subcutaneous infiltration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Compared pain score change from baseline at 2, 6 and 24 hours at post-operation between 2 groups by visual analogue scale | 2, 6 and 24 hours post-operation | |
| Compared rescued dose of morphine injection | Within 24 hours post-operation |
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Inclusion Criteria:
Patients undergo elective or urgency cesarean delivery at Rajavithi Hospital in 2016-2017
Pregnant women more than 20 years of age
Gestational age more than 37 week
Cesarean section under regional or general anesthesia
Ability to communicating, writing and reading Thai language
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Natthida Mekwongtrakarn | Bangkok | 10400 | Thailand | |||
| Rajavithi Hospital |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D004008 | Diclofenac |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Diclofenac | Drug | diclofenac 75 mg intramuscular, 2 hours postoperation |
|
| Bangkok |
| Thailand |
| D000588 |
| Amines |
| D010648 | Phenylacetates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |