Results of Post cesarean Delivery Pain Relief between Oral Tramadol and Intravenous Morphine: A Randomized Controlled Trial
No Thumbnail Available
Date
2011-03-10
Journal Title
Journal ISSN
Volume Title
Publisher
Buddhachinaraj Medical Journal
Abstract
Postcesarean delivery pain often occurs, so postcesarean delivery mothers have to receive analgesia. Opiatederivative analgesia may cause side effects. This experimental study aimed to determine and compare whetheroral analgesia with tramadol or intravenous morphine provides superior analgesia after planned cesarean deliveryin all more than 18-year old mothers with labor pain. One hundred and fifteen patients were studied atSomdejprachaotaksinmaharaj Hospital between February 2009 to May 2010. The scheduled cesarean deliverywas designed randomly to receive either oral analgesia with tramadol or intravenous morphine. At 6 and 24 hoursafter the procedure, pain was assessed on a visual analog pain scale of 0 to 10. Nausea, emesis, pruritus,drowsiness, ambulation and oral fluid intake were also assessed. Patients who used oral analgesia experiencedmore pain at 6 and 24 hours after cesarean delivery, but they had less nausea and drowsiness at 6 hours.Conclusion, oral analgesia with tramadol may offer inferior pain control after cesarean delivery but less sideeffects than morphine. Consideration should be given to expand the use of oral analgesia in patients immediatelyafter cesarean delivery and complete recovery.
Description
Keywords
Citation
Buddhachinaraj Medical Journal; Vol.27 (Supplement 1) May-Augst 2010; 349