title: Diclofenac intramuscular single dose to decrease pain in post operative Caesarean section: a double blind randomized controlled trial.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Ranong Hospital, Ranong 85000, Thailand.
authors.forename: Athicom
authors.initials: A
authors.lastname: Bourlert
mesh_terms: 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
chemical_list: D000701:Analgesics, Opioid; D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac; D009020:Morphine