Comparison of the effectiveness of intramuscular injection of Ketorolac with PCA pump Containing Morphine and Apotel in Pain control of Patients after Cesarean Sectio

Phase 2

Conditions: Painlessness after surgery.

Registration Number: IRCT20231005059625N1

Lead Sponsor: Birjand University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Female

Target Recruitment: 90

Inclusion Criteria

Pregnant mothers, 20-40 years old,
Elective caesarean section with transverse incision
Pregnancy age at least 37 weeks
American Society of Anesthesiology based on II and I ASA class

Exclusion Criteria

Suffering from gestational hypertension
Receiving NSAID and narcotics before surgery
Mothers of macrosomic and multiple babies
Spinal or epidural anesthesia method
history of peptic ulcer
history of coagulation disorders
BMI more than 30

Study & Design

Study Type: observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Determination and comparison of the average pain intensity of the patients after the cesarean section in the group receiving intramuscular ketorolac and the group receiving morphine and Apotel by PCA pump. Timepoint: , 15 minutes after the operation (before intervention for analgesia) and 6, 12 and 24 hours after the cesarean section. Method of measurement: Visual pain score(Visual Analogue Scale).

Secondary Outcome Measures

Name	Time	Method
The mean of hemodynamic indices (average blood pressure, heart rate and SPO2). Timepoint: 15 minutes after the operation (before intervention for analgesia) and 6, 12 and 24 hours after the operation. Method of measurement: Automatic monitoring device.;Frequency distribution of mothers' need to receive an additional dose of anesthesia. Timepoint: In the first 24 hours after the operation. Method of measurement: Based on the history of the patient.;Frequency distribution of side effects (nausea, vomiting, abnormal sleepiness, respiratory depression, stomach pain). Timepoint: In the first 24 hours after the operation. Method of measurement: Based on the history of the patient.