Diclofenac intramuscular single dose to decrease pain in post operative Caesarean section: a double blind randomized controlled trial
Bourlert, A.
Journal of the Medical Association of Thailand 88(1): 15-19
2005
ISSN/ISBN: 0125-2208 PMID: 15960211 Document Number: 2224
Objective: To compare the use of diclofenac intramuscular single dose to decrease pain in post operative Caesarean section with none used.Study design: A double blind randomized controlled trial.Setting: Department of Obstetrics and Gynecology, Ranong Hospital.Subjects: Sixty-four patients who underwent post operative Caesarean section in Ranong Hospital from October 2003 to March 2004.Intervention: The subjects were randomized by allocation to receive diclofenac intramuscular or placebo, both groups received morphine by Patient Controlled Analgesia (PCA).Main outcome measures: Amount of morphine sulfate used, in both groups by Patient Controlled Analgesia (PCA) and level of pain using Visual Analog Score (VAscore).Results: Morphine was used significantly less in the group of patients who had diclofenac intramuscular single dose in post operative Caesarean section but the level of pain was not significantly different.Conclusion: A single dose of diclofenac intramuscularly decreases the use of morphine during the in post operative period of Caesarean section.
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