This study is designed to see the effect of low dose intrathecal morphine on promting enhanced recovery after cesarean delivery with early ambulation and reduction of hospital stay.
Parturients showing for elective cesarean section will be randomized into 3 groups by a computer generated randomization list. Each randomization slip will be put in a sealed envelope until patient enrollment. Patients will be divided into Group C: control group, given intrathecal bupivacaine 12.5 mg. Group M25: intrathecal bupivacaine 12.5mg + morphine 25 microgram. Group M50: intrathecal bupivacaine 12.5mg + morphine 50 microgram.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
60
intrathecal low dose morphine for early return to normal activity without opioid related complications.
intrathecal bupivacaine 0.5%
Minia university
Minya, Egypt
RECRUITINGPain postoperative
postoperative pain using Numerical pain score 0 no pain - 10 severe intolerable pain
Time frame: 2 hours postoperatively
Pain postoperative
postoperative pain using Numerical pain score 0 no pain - 10 severe intolerable pain
Time frame: 4 hours postoperatively
Pain postoperative
postoperative pain using Numerical pain score 0 no pain - 10 severe intolerable pain
Time frame: 24 hours postoperatively
vomiting
four-point rating score (1: no nausea or vomiting, 2: queasy, 3: severe nausea, 4: vomiting).
Time frame: 2 hours postoperative
vomiting
four-point rating score (1: no nausea or vomiting, 2: queasy, 3: severe nausea, 4: vomiting).
Time frame: 4 hours postoperative
vomiting
four-point rating score (1: no nausea or vomiting, 2: queasy, 3: severe nausea, 4: vomiting).
Time frame: 24 hours postoperative
itching
four-point rating score (1: no itching, 2: mild,face, no traetment needed 3: severe itching, allover the body).
Time frame: 2 hours postoperative
itching
four-point rating score (1: no itching, 2: mild,face, no traetment needed 3: severe itching, allover the body).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 4 hours postoperative
itching
four-point rating score (1: no itching, 2: mild,face, no traetment needed 3: severe itching, allover the body).
Time frame: 24 hours postoperative
respiratory depression
respiratory rate less than 8 breaths \\ minute
Time frame: 4 hours postoperative