To Compare the Efficacy and Patient's Satisfaction From Pain Management of Women After Cesarean Section by Pain Relievers' Administration in Fix Protocol Compared to Protocol Following Demand

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01764048
Recruitment Status : Completed
First Posted : January 9, 2013
Last Update Posted : January 8, 2016
Information provided by (Responsible Party):
HaEmek Medical Center, Israel

Brief Summary:

Cesarean deliveries are prevalent. Unlike other operations, quick recovery is required for the mother to nurture the newborn child and establishing an appropriate mother-child bonding. Therefore, effective pain management is crucial. In this study we would like to compare between two pain relievers' administration protocols: (1) pain relievers' administration in fix protocol (type of medications, dose and intervals) or (2) pain relievers' administration following demand (the same type and doses, however, medications will be given only following patient's request).

The primary outcome will be patient satisfaction, pain control and the necessity of additional medications (rescue doses).

The protocols will be used for the first 48 hours following surgery.

Condition or disease Intervention/treatment Phase
Pain Management Cesarean Section Drug: Fix protocol Drug: medications following demand protocol Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 214 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Study Start Date : November 2012
Actual Primary Completion Date : January 2014
Actual Study Completion Date : June 2014

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Cesarean Section

Arm Intervention/treatment
Experimental: Fix protocol

During 48 hours following surgery pain medications will be given as followed (listed in brackets are the generic names of each medication):

At patient arrival to the department: Intravenous Tramadol hydrochloride 100 milligrams + TAB. Paracetamol 500 milligrams + TAB. Diclofenac 100 milligrams

After 6 hours from patient arrival and every 6 hours: TAB. Zaldiar (Paracetamol 650 milligrams + Tramadol 75 milligrams).

After 12, 24 and 48 hours from patient arrival: TAB. Diclofenac 100 milligrams.

Rescue medication: TAB. Percocet (Oxycodone 5MG/Paracetamol 325 MG)as necessary up to 4 times per day.

The total amount of paracetamol is limited to 4 gr per day.

Drug: Fix protocol
Please see arm description

Experimental: medications following demand protocol
The same combinations will be given as in the fixed protocol however only after patient request
Drug: medications following demand protocol
Please see arm description

Primary Outcome Measures :
  1. The efficacy of pain management [ Time Frame: during 48 hours from surgery ]
    Pain sensation will be assessed using the VAS scale (visual analog scale) for measurement of acute pain

Secondary Outcome Measures :
  1. adverse effect of the medications given in each protocol [ Time Frame: during 48 hours following surgery ]
  2. to compare the amount of breastfeeding between 2 groups [ Time Frame: following the week after surgery ]
  3. The number of times that pain medications were given in each study group [ Time Frame: during 48 hours following surgery ]
  4. The necessity of additional medications (rescue doses) [ Time Frame: During 48 hours after surgery ]
  5. Patient satisfaction [ Time Frame: 48 hours after surgery ]
    Each patient will fill in a satisfaction questioner which is given 48 hours after surgery

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • women that underwent cesarean section

Exclusion Criteria:

  • Women suffering from chronic pain
  • Women using chronic pain medications
  • Allergy to any drug used in the study
  • Women underwent general anesthesia during the surgery
  • women with elevated liver enzymes

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01764048

Departement of obstetric and gynecology, HaEmek medical center
Afula, Israel, 18101
Sponsors and Collaborators
HaEmek Medical Center, Israel

Responsible Party: HaEmek Medical Center, Israel Identifier: NCT01764048     History of Changes
Other Study ID Numbers: 0120-12-EMC
First Posted: January 9, 2013    Key Record Dates
Last Update Posted: January 8, 2016
Last Verified: January 2016

Keywords provided by HaEmek Medical Center, Israel:
pain management
cesarean section