Association of post caesarean section pain with initiation of breastfeeding

Phase 1

Completed

Conditions: Primigravidae aged between 20-40 yrs of ASA 2 and 3 posted for elective and emergency caesarean section under subarachnoid block with singleton live pregnancy at KIMS Hubballi

Registration Number: CTRI/2023/06/054114

Lead Sponsor: Dr Gowri Nair K

Brief Summary: Post caesarean pain is an important and often neglected outcome. Effective post caesarean section analgesia is an important factor that affects early initiation of breastfeeding in the immediate postnatal period. This study is a randomized single centre double blind controlled study assessing the effect of rectal diclofenac suppository and USG guided transversus abdominis plane block on post caesarean section pain and how it affects initiation of breastfeeding

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Female

Target Recruitment: 105

Inclusion Criteria

1)Primigravida undergoing elective or emergency caesarean section 2)Age group of 20 to 40 years 3)Singleton live pregnancy 4)Physical status of ASA II/III grading 5)Caesarean section done under subarachnoid block.

Exclusion Criteria

1)Presence of pregnancy induced hypertension, gestational diabetes mellitus, post partum hemorrhage, intraoperative and postoperative complication 2)Presence of psychiatric conditions 3)Primigravida with caesarean section done under subarachnoid block converted to general anaesthesia or any sedative agent administered during caesarean section.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Onset of pain after caesarean section	Onset of pain assessed by verbal numerical score at 0,1,6,8 hours after caesarean section

Secondary Outcome Measures

Name	Time	Method
Assess relationship between breastfeeding & uterine cramping pain post caesarean section	Assessed at 0,1,6,8 hours after caesarean section
Effect of anxiety on post caesarean section pain	Level of anxiety checked at 30 min before surgery or at time of pre anaesthetic evaluation
Change in intensity of incision pain during breastfeeding	Assessed at 0,1,6,8 hours after caesarean section

Trial Locations

Locations (1): Karnataka Institute of Medical Sciences
🇮🇳
Dharwad, KARNATAKA, India
Karnataka Institute of Medical Sciences
🇮🇳Dharwad, KARNATAKA, India
Dr Gowri Nair K
Principal investigator
7356256671
gowrinair663@gmail.com