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DOI: 10.1055/s-0039-3401134
Oral versus intravenous morphine for pain after caesarean section
Publication History
Publication Date:
27 November 2019 (online)
Objective:
We sought to test the hypothesis that oral drug administration is superior to intravenous drug administration to reduce postoperative pain after caesarean section.
Methods:
In a secondary analysis of a prospective birth registry we identified 70 women who received CS in a four month period at a single center which replaced intravenous by oral administrated pain management.
Half of the patients were assigned to intravenous opioid/NSAID (IVO) and oral opioid/NSAID (ORO) therapy, respectively.
Results:
Patients after oral pain management had significantly less surgical site pain than patients after intravenous pain management.
Median peak pain score on first post-operative-day (pod1) were 5,00 (intraquartile range 3,50 – 6,00) for IVO and 2,00 (intraquartile range 2,00 – 3,00) for ORO respectively (P-Value < 0,0001). The mean number of administrated doses of opioids and NSAIDs was significantelly less in the oral group.
There was no difference in patient characteristics and neonatal outcome.
Conclusion:
An oral approach to pain therapy after caesarean section appears to reduce postoperative pain. We observed a high compliance to this management.