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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

This study has been completed.
Information provided by (Responsible Party):
HaEmek Medical Center, Israel Identifier:
First received: January 2, 2013
Last updated: January 7, 2016
Last verified: January 2016

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 Intervention
Pain Management
Cesarean Section
Drug: Fix protocol
Drug: medications following demand protocol

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment

Resource links provided by NLM:

Further study details as provided by HaEmek Medical Center, Israel:

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

Enrollment: 214
Study Start Date: November 2012
Study Completion Date: June 2014
Primary Completion Date: January 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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


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
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Please refer to this study by its identifier: NCT01764048

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

Responsible Party: HaEmek Medical Center, Israel Identifier: NCT01764048     History of Changes
Other Study ID Numbers: 0120-12-EMC
Study First Received: January 2, 2013
Last Updated: January 7, 2016

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

Additional relevant MeSH terms:
Polystyrene sulfonic acid
Chelating Agents
Sequestering Agents
Molecular Mechanisms of Pharmacological Action processed this record on April 26, 2017