Thus study evaluates the advantage of infiltration of the surgical wound by local anesthetics in cesarean section on post operative pain relief. In the study group before closing the skin, both sides of the incision (top and bottom) will be infiltrated by 30 ml of 0.25% BUPIVACAINE and ADRENALIN at 1: 200,000 concentration and then closing the skin. In the control group, the skin will be closed without infiltration. Our hypothesis is that subcutaneous infiltration of the surgical wound by BUPIVACAINE + ADRENALIN at the end of cesarean section will reduce the intensity of post operative pain.
Cesarean section is one of the most common procedures in the world. There is an advantage in preventing pain after cesarean section, as opposed to treating pain that has already started. The infiltration of surgical wounds by local anesthetics is accepted as an effective method for preventing pain after various operations. In this study women who are admitted for a cesarean section will be randomly allocated into 2 groups. In the study group after the closure of the fascia above the rectus muscles, and before closing the skin, both sides of the incision (top and bottom) will be infiltrated by 30 ml of 0.25% BUPIVACAINE and ADRENALIN at 1: 200,000 concentration and then closing the skin. In the control group, the skin will be closed without infiltration.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
288
After closing the fascia above the rectus muscles, and before closing the skin, the subcutaneous layer will be infiltrated on both sides of the incision (top and bottom) by 30 ml of 0.25% BUPIVACAINE and ADRENALIN at 1: 200,000 concentration and then closing the skin.
HaEmek medical center
Afula, Israel
Self reported pain intensity upon receipt of a woman after cesarean section to the maternity department.
Visual analogue scale pain severity with scale from 0 to 10, with score 10 representing the maximum level of pain.
Time frame: up to 24 hours
Length of the cesarean section
Time from first incision to the end of incision closure
Time frame: up to 24 hours
Time from surgery to mobility
Time from the end of surgery to mobility
Time frame: up to 48 hours
Time from surgery to breastfeeding
Time from the end of surgery to breastfeeding
Time frame: up to 4 days
Need for opioids
Type and dosage of opioids needed
Time frame: up to 4 days
Surgical site hematoma
Post operative surgical site hematoma
Time frame: 4 days
surgical site infection
Post operative surgical site infection
Time frame: up to 42 days
questionnaire
Post operative women's satisfaction with scale from 0 to 10, with score 10 representing the maximum level of satisfaction.
Time frame: up to 4 days
Length of stay from surgery to discharge
Length of stay from surgery to discharge
Time frame: up to 4 days
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