ABSTRACT

Aim: To compare rectal diclofenac against oral mefenamic acid in terms of mean pain score after episiotomy

Methodology; A comparative data analysis from March 2020 to September 2020 was accompanied at Obstetrics and Gynecology Unit at shalamar hospital lahore, Pakistan. The duration of the study was 6 months in which a total 200 patients were taken with 100 patients allocated in each group After randomization, patient in group A will receive diclofenac suppository 100mg and patient in group B will receive oral mefenamic acid 500mg. In all episiotomies or laceration suturing will be performed after infiltration of 10ml of 2% lidocaine Data was collected sampling technique was nonprobability consecutive sampling technique and analyzed in terms of pain score.

Results: 100 patients were randomized to group A, who receive rectal diclofenac and same patients were included in group B who were given mefenamic acid orally. The pain score was observed at 06 and 12 hours respectively in both groups. The mean age of the patient in mefenamic group was 28 years and in diclofenac was 26 years. The mean pain score in mefenamic group at 06 hours was 3.68 (+ 0.875) which reduced to 1.68 (+ 0.909) at 12 hours. The mean pain score in diclofenac group was 2.99 (+ 1.00) at 06 hours which reduced to 1.07 (+ 0.856) at 12 hours. The difference between mean pain scores of both groups at 06 and 12 hours, were found statistically significant (P<0.001) to suggest that rectal diclofenac was more effective in controlling perineal pain after episiotomy during child birth. Conclusion: Rectal diclofenac is more effective than oral mefenamic acid in perineal pain control after episiotomy at 06hrs as well as at 12hrs.

Keywords: Mean pain score, visual analogue scale