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:: Volume 4, Issue 2 (Summer 2004) ::
J Ardabil Univ Med Sci 2004, 4(2): 13-16 Back to browse issues page
Comparative Study of Diclofenac Suppository and Intramuscular Methadone for Pain Relief after Cesarean Section
Farnaz Ehdaivand , Masoumeh Rostamnegad, Homayoun Sadeghi, Nayereh Aminisani
Abstract:   (8723 Views)

  Background & Objectives: Cesarean section is one of the most common surgeries in women. In developed countries the rate of cesarean section is reported to be 21.2%. In Iran, the rate of cesarean section is even higher than the international norms. In a study in Ardabil, in 2001, cesarean section rate came out to be 42.86%. Postoperative pain after cesarean is one of the complications that all mothers experience in one-way or another. Besides bothering mother it can disorder newborn feeding, ambulation of mother and bonding between newborn and mother if it is not controlled effectively. This study was conducted to compare the effect of intramuscular Methadone and Diclofenac suppository for pain relief after cesarean section in Alavi hospital, Ardabil.

  Methods: This study was a double blind clinical trial. 56 women who experienced cesarean section for the first time were randomly divided into two groups. Diclofenac suppository (100 mg every 8hr) was given to first group and Methadone (5 mg every 8hr) was injected to the second group for 24 hours. Then, the severity of pain was measured with numerical scoring in serial postoperative visits. The data were analyzed by SPSS software using descriptive and analytical statistics such as chi-square and ANOVA.

  Results: The findings indicated that the severity of pain in 2nd, 3rd and 4th postoperative visits was significantly lower in patients who received Diclofenac suppositories than the other group (p<0.05). But overall, there was no statistically significant difference between the pain severity in Methadone receiving group (Mean & SD= 5.85 ± 3.5) and Diclofenac receiving group (Mean & SD= 6.46 ± 2.9).

  Conclusion: There was no significant difference between Diclofenac suppository and Methadone in terms of decreasing the postoperative pain after cesarean section. However, regarding the restrictions in the use of opioids, Diclofenac can be a suitable replacement for these drugs.

Keywords: Methadone, Diclofenac Na, Cesarean, Postoperative Pain
Full-Text [PDF 118 kb]   (2327 Downloads)    
Type of Study: article | Subject: Special
Received: 2001/07/2 | Accepted: 2003/11/6 | Published: 2004/11/3
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Ehdaivand F, Rostamnegad M, Sadeghi H, Aminisani N. Comparative Study of Diclofenac Suppository and Intramuscular Methadone for Pain Relief after Cesarean Section. J Ardabil Univ Med Sci. 2004; 4 (2) :13-16
URL: http://jarums.arums.ac.ir/article-1-489-en.html


Volume 4, Issue 2 (Summer 2004) Back to browse issues page
مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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