The Effect of Metoclopramide Addition to Lidocaine on Pain of Patients with Grades II and III Post-Episiotomy Repair
Introduction: Episiotomy is the most common procedure used for dilatation of the vaginal opening for giving birth. Although episiotomy is associated with benefits for the mother, it may lead to short term and long term disabilities, including postpartum perineal pain that is secondary to perinea...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/9657/18420_CE[Ra1]_F(GH)_PF1(SYGH)_PFA(SS)_PF2(NE_AD_SS)_PF3(PAG).pdf |
| Summary: | Introduction: Episiotomy is the most common procedure used
for dilatation of the vaginal opening for giving birth. Although
episiotomy is associated with benefits for the mother, it may lead
to short term and long term disabilities, including postpartum
perineal pain that is secondary to perineal tearing.
Aim: The aim of this study was to investigate the effect
of subcutaneous lidocaine compared with lidocaine and
metoclopramide on pain after episiotomy.
Materials and Methods: In this clinical trial study, the patients
(83 for control group and 83 for case group) with episiotomy
Grades II and III were enrolled and were asked to express their
postpartum episiotomy pain as a number, from zero (no pain)
to 10 (severest pain) Visual Analogue Scale (VAS score) at 0, 30
minute, 1 hour, 2 hour, 4 hour, 6 hour and 12 hour postpartum.
Patients at the second stage of labour (crowning) were assigned
to two groups: In the control group, 5 cc lidocaine 2% and in
the case group, 5 cc lidocaine + 10 mg metoclopramide was
injected for episiotomy. Then, the pain score was compared
between the two groups. The data were analyzed by t-test and
chi-square test with software SPSS version 20.0.
Results: Mean age of the women was 23.19±0.46 years in the
control group and 23.96±0.58 years in the case group with no
significant difference between the two groups (p<0.05). The
mean pain score in the control group was 3.54±0.71 and in the
case group 2.93±0.91 at 30 minutes after the injection, with a
statistically significant difference. At other intervals, postnatal
pain scores in the case group was lower than those of the
control group (p<0.05).
Conclusion: Injection of metoclopramide with lidocaine is
more effective than lidocaine alone for relieving the pain after
episiotomy. |
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| ISSN: | 2249-782X 0973-709X |