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临床试验/NCT04331210
NCT04331210Unknown不适用

Rectal Versus Oral Diclofenac Sodium in Relieving Post Episiotomy Pain

Assiut University0 个研究点目标入组 1,024 人开始时间: 2020年9月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
入组人数
1,024
主要终点
Post episiotomy pain relief

研究概览

简要总结

Current study aims to compare oral diclofenac sodium with it's rectal form for analgesia of pain after episiotomy.

详细描述

  • Episiotomy is a surgical incision of the perineum and the posterior vaginal wall.
  • it can be done at a 60 degree angle from the vulva towards the anus or at an angle from the posterior end of the vulva.
  • usually under local anesthetic and is sutured after delivery.
  • It is done during second stage of labor to enlarge the opening for the baby to pass through to avoid soft-tissue tearing which may involve the anal sphincter and rectum.
  • Perineal pain after episiotomy has immediate and long-term negative effects for women and their babies. These effects can interfere with breastfeeding and the care of the infant.
  • Usually women undergo episiotomy need a good analgesic to overcome pain resulting from the analgesic.
  • Previous study by Faiza shafi, Shazia sayed, Naheed bano, Rizwana chaudhri, Holy family hospital, Rawalpindi, Pakistan, The study was published in journal of Rawalpindi medical college and concluded that rectal diclofenac should be further promoted , for pain relief, in women following episiotomy.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Participant)

入排标准

年龄范围
20 Years 至 35 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • age: 20:35 years.
  • Primigravidae as elective procedure.
  • face to pubis delivery.
  • Narrow pelvic arch.
  • Elderly primigravida.
  • old perineal scar as episiotomy or perineorrhaphy.
  • Manipulative delivery.
  • To cut short second stage cases such as pre eclampsia.
  • Premature baby.
  • Fetal distress.

排除标准

  • more than 35 years.
  • pelvic inflammatory disease.

研究组 & 干预措施

Group 1

Active Comparator

Using diclofenac sodium suppository 50 mg immediately after suturing and then every 8 hours

干预措施: Diclofenac Sodium (Drug)

Group 2

Active Comparator

Using diclofenac sodium tablets 50 mg every 8 hours after birth

干预措施: Diclofenac Sodium (Drug)

结局指标

主要结局

Post episiotomy pain relief

时间窗: First three days after delivery

The relief of pain after delivery measured by pain relief scale..Pain relief scale Title: pain intensity scale Minimum 0 means no pain Maximum 4 means severe pain

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Mohammed Hosny Ahmed

Principal investigator

Assiut University

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