Comparison of Outcome in Patients Undergoing Cesarean Section with Wound infiltration with Local Anesthetic Versus Narcotic Analgesia

Abstract

Objective: To compare the outcome of wound infiltration plus local anesthetic agent versus narcotic analgesia in females undergoing cesarean section
Material & Methods: This was a comparative study and study place and period was Unit 3, Department of Obstetrics & Gynecology, Services hospital, Lahore from july 2016 to January 2017. Patients were segregated
into two groups. Group A was bupivacaine group. Group B was control group. During the immediate postpartum
period, a 100mg dose of intravenous tramadol was administered. Patients were transferred to the postoperative
wards and were monitored there for duration of 24 hours. During the next 24 hours patients were asked for pain >4 on VAS and tramadol was given. After 24 hours, pain score was measured.
Results: The average age of patients was 26.98±4.87 years, with the mean gestational age in group A being 39.52±1.14 weeks and in group B being 39.62±1.14 weeks. The mean tramadol consumption was 74.53±13.21mg.
A significant difference was observed between the study groups in terms of tramadol consumption, with a p- value of 0.000.
Conclusion: The patients undergoing caesarean section with wound infiltration with local anesthetic agent showed significantly less tramadol consumption as compared to narcotic analgesia