Oral Versus Rectal Diclofenac Sodium Efficacy in Pain Control After Perineal Repair in a Primipara

Abstract

Objective: To compare oral with rectal route of diclofenacsodum pain control after repair of an episiotomy in a primiparous patient.
Methods: This study was carried out in Jinnah Hospital, Lahore. The duration of the study was six months. It was a prospective case control study. 100 patients were enrolled; 50 in each group. Group-A was given rectal suppositories, and group-B was given oral drug. The sampling technique was non-probability convenience sampling. A simple visual analogue pain (VAS) scoring was used to assess extent of pain after 24 hours of delivery in both groups. Results were tabulated by SPSS 20.
Results: Age, gestational age and BMI were comparable in both groups .Regarding parity distribution, all mothers were primigravidae. Mean pain score on VAS in group-A was 2.08±0.96 and in group-B 5.92±1.08 (p < 0.001).
Conclusions: Rectal route was found to be more effective than oral diclofenac.