PMID: 16649459May 3, 2006Paper

Postpartum perineal pain in primiparous women: a comparison of two local anaesthetic agents

Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria
S Fyneface-OganC E Enyindah

Abstract

Episiotomy is the commonest obstetric surgical operation performed to increase the introitus to enhance vaginal delivery. This study was to compare the effect of two local anaesthetic agents on postpartum perineal pain and time for demand for oral analgesics. A randomized double-blinded controlled clinical trial was conducted in primiparous women who had spontaneous vaginal delivery, comparing 1% plain lidocaine and 0.25% plain bupivacaine infiltration for the repair of selective episiotomy or perineal injury. The two groups were comparable in sociodemographic characteristics. At 2 and 4 hours, women who had perineorraphy under lidocaine had significantly higher pain scores on the Visual Analogue Scale (VAS) than those who had the repair under bupivacaine, (4.0 v. 2.0)and(6.0 v. 3.0)respectively. At the 6h hour, the mean pain score for the bupivacaine group was 4.0 on the VAS while the lidocaine group had already received a dose of oral analgesic (Ibuprofen 400 mg) following severe pain from the repair. There was however no statistically significant difference in the pain score on the VAS between the two groups at the time of request for oral analgesics. The mean time lapse before demand for oral analgesics for the lidocaine gr...Continue Reading

Citations

Jan 6, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·S KindbergT B Henriksen
Feb 27, 2013·The Cochrane Database of Systematic Reviews·Doris ChouA Metin Gülmezoglu
Jul 17, 2018·BJOG : an International Journal of Obstetrics and Gynaecology·V PergialiotisUNKNOWN International Collaboration for Harmonising Outcomes, Research, and Standards in Urogynaecology and Women's Health (CHORUS)

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