A prospective, double blind, controlled, randomised comparison of rectal versus intravenous diclofenac for post Caesarean section pain

DR. APARNA ASHAY NERURKAR; DR. JITENDRA SUBHASH DORKAR

Volume : V, Issue : VII, July - 2016

A prospective, double blind, controlled, randomised comparison of rectal versus intravenous diclofenac for post Caesarean section pain

Dr. Aparna Ashay Nerurkar, Dr. Jitendra Subhash Dorkar

Abstract :

Aim: Comparison of rectal and intravenous (IV) Diclofenac with regards to duration and quality of analgesia, hemodynamic parameters and side effects for post Caesarean section pain. Materials and methods: A prospective, double blind, controlled, randomised study of 60 parturients undergoing Caesarean section under Subarachnoid Block. Patients received either Inj. Diclofenac 75mg intravenously or Diclofenac suppository 100 mg per rectally post operatively. Patients were assessed for24 hours for their pain scores, rescue analgesic requirements, pain on coughing, tenderness, uterine pain, mobility scores, hemodynamic parameters and side effects, with tramadol being used as rescue analgesic. Statistical analysis involved unpaired students �t� test to compare all observations. Results: VAS scores and post operative mobility scores (p=0.03) were better for the first 4 hours with intravenous diclofenac while total tramadol consumption was slightly lower(p=0.019) in the rectal diclofenac group. Conclusion: Both routes of administration of diclofenac are acceptable for post Caesarean section analgesia.