Paracetamol vs dexketoprofen for perineal pain relief after episiotomy or perineal tear.

A Akil, O Api, Y Bektas, A Onan Yilmaz, S Yalti, O Unal

Journal: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology 2014;34(1):25-8

PMID: 24359044

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Abstract

A randomised controlled trial was conducted to investigate efficacy of paracetamol and dexketoprofen trometamol for perineal pain relief after perineal repair. Subjects were randomly assigned to receive two doses of either 50 mg of intravenous dexketoprofen trometamol via slow i.v. infusion (Group I, n = 49) or 1,000 mg of paracetamol via intravenous infusion (Group II, n = 46). The main outcome measure was a VAS (visual analogue scale) for pain recorded at 1 h (VAS 1). A total of 82 patients were included in the final analysis (Group I, n = 41; Group II, n = 41). There was no difference among groups in terms of pain scores at the beginning (VAS 0). The pain was decreased in 70% of the patients in Group I and in 62% of the patients in Group II (p = 0.502). Both paracetamol and dexketoprofen are effective in perineal pain relief after episiotomy or perineal tear repair.

Address: Bodrum Acıbadem Hospital , Bodrum , Mugla.

DOI: 10.3109/01443615.2013.828026

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MeSH Terms: Acetaminophen, Adult, Analgesics, Non-Narcotic, Anti-Inflammatory Agents, Non-Steroidal, Double-Blind Method, Episiotomy, Female, Humans, Infusions, Intravenous, Ketoprofen, Pain, Perineum, Pregnancy, Tromethamine, Young Adult