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Koomesh  2009 

The efficacy of 2% lidocaine gel versus diclofenac suppository in pain reliving after episiotomy

Keywords: Lidocaine gel , Diclofenac suppository , Pain , Episiotomy

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Abstract:

Introduction: The most important problems after episiotomy is perinal pain which has moreseverity in the first day of postpartum. The aim of this study is to investigat the efficacy of 2%lidocaine gel versus diclofenac suppository in reliving of pain after episiotomy.Material and Methods: In a randomized, double-blind, controlled trial, 130 women who hadmediolateral episiotomy received 2% lidocaine gel (n = 65) or diclofenac suppository (n = 65) atShabihkhani hospital in Kashan (Iran). Two groups were matched for age, gestational age, parity,education, nationality, infant sex and weight, type of episiotomy, consumption of pethedin in labor.After episiotomy repaired we administered 5cc lidocaine gel every 4 hours for women in lidocainegroup and 100 mg diclofenac rectal suppository for women in diclofenac group. Using a verbal ratingscale, pain ratings were recorded before the administration of the drugs and at 6 and 12 hrs after thefirst dose. Data were analyzed with t-test, χ2 and fisher test.Results: Although there weren't any significant differences between pain severity in two groups at6 hours (P=0.4) and 12 hours (P=0.6) after episiotomy repair, but women using diclofenacsuppository had lower pain, Also there weren't any significant differences between two groups inconsumption of analgesia in postpartum (P=0.2). There weren't any adverse effects with lidocaine gelor diclofenac suppository uses.Conclusions: This study suggests that lidocaine gel and diclofenac suppository have similarefficacy on episiotomy pain relief in the first day of postpartum.

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