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The aim of this study is to compare between the effect of wound infiltration with bupivacaine or pethidine for post cesarean section pain relief.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bupivacaine Group | Active Comparator | Patients delivered by cesarean section followed by wound infiltration by bupivacaine. |
|
| Pethidine Group | Active Comparator | Patients delivered by cesarean section followed by wound infiltration by pethidine. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Wound infiltration by Bupivacaine | Drug | Subcutaneous and subrectal infiltration with 0.25 % Bupivacaine diluted in 20 ml normal saline before closure of the wound |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative wound pain: VAS | Postoperative wound pain will be assessed using visual analogous scale (VAS) ranging from 0 (no pain) to 10 (worst pain imaginable). Mean values will be calculated and compared between the three groups | first 24 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Total dose of opioid drugs needed | Total dose of extra opioid drugs needed to achieve postoperative analgesia | first 24 hours postoperatively |
| Incidence of nausea and vomiting | Number of patients experiencing nausea and vomiting |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mohamed Samy, MD | M Samy | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain SHams Maternity Hospital | Cairo | Abbaseya | 002 | Egypt |
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| ID | Term |
|---|---|
| D048949 | Labor Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Participants will be randomized to local infiltration of cesarean section wound with either bupivacaine or pethidine; with follow up of postoperative pain relief.
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| Wound infiltration by Pethidine | Drug | Subcutaneous and subrectal infiltration with 50 mg pethidine diluted in 20 ml normal saline before closure of the wound |
|
| first 24 hours postoperatively |
| Incidence of urine retention | Number of patients experiencing urinary retention | first 24 hours postoperatively |
| Incidence of hypotension | Number of patients experiencing hypotension | first 24 hours postoperatively |