Analgesia after Caesarean section

A double‐blind placebo‐controlled study was performed to assess the analgesic effect of rectal sodium diclofenac 100mg after Caesarean section using subarachnoid hyperbaric bupivacaine 0.5% and morphine 0.2mg. During the 48h follow‐up period, both placebo and diclofenac groups had comparable analgesia as measured by visual analogue scores (VAS) at rest and on movement. However, diclofenac prolonged the mean time to first analgesia by more than 5h from 13h 45 min in the placebo group to 18 h 58min (p < 0.03). The incidence of side effects (nausea, vomiting, itching, excessive lochia loss and the need for additional analgesia) were comparable in each group.

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