Diclofenac intramuscular single dose to decrease pain in post operative Caesarean section: a double blind randomized controlled trial.
OBJECTIVE
To compare the use of diclofenac intramuscular single dose to decrease pain in post operative Caesarean section with none used.


METHODS
A double blind randomized controlled trial.


METHODS
Department of Obstetrics and Gynecology, Ranong Hospital.


METHODS
Sixty-four patients who underwent post operative Caesarean section in Ranong Hospital from October 2003 to March 2004.


METHODS
The subjects were randomized by allocation to receive diclofenac intramuscular or placebo, both groups received morphine by Patient Controlled Analgesia (PCA).


METHODS
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.


CONCLUSIONS
A single dose of diclofenac intramuscularly decreases the use of morphine during the in post operative period of Caesarean section.
Bourlert
Athicom
A
Department of Obstetrics and Gynecology, Ranong Hospital, Ranong 85000, Thailand.
D000328:Adult; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage*; D002585:Cesarean Section / Q000009:adverse effects*; D004008:Diclofenac / Q000008:administration & dosage*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D009020:Morphine / Q000008:administration & dosage; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology / Q000517:prevention & control*; D011247:Pregnancy
D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac; D009020:Morphine