Pre-Incisional, Post-Incisional and Combined Pre-And Post-Incisional Local Wound Infiltrations With Lidocaine in Elective Caesarean Section Delivery: A Randomised Clinical Trial Publisher Pubmed



Fouladi RF¹ ; Navali N² ; Abbassi A³
Source: Journal of Obstetrics and Gynaecology Published:2013

Abstract

The objective of this study was to compare maternal and fetal outcomes in caesarean deliveries received pre-incisional, post-incisional or combined pre-and post-incisional local wound infiltrations with lidocaine. In a randomised, double-blind clinical trial, candidates of elective caesarean section received local wound infiltration with an anaesthetic mixture including 1% lidocaine pre-incisionally (n = 94), post-incisionally (n = 92) or both (n = 95). Postoperative pain, duration of analgesia, number of postoperative rescue analgesic demands, time to ambulation, time of first breast-feeding and neonatal Apgar score were compared. Main outcome variables were comparable between the pre-and post-incisional groups. Pain scores and duration of analgesia were significantly lower in the mixed group. Time of breast-feeding and number of analgesic demand were significantly lower in 'mixed' group than those in pre-and post-incisional groups, respectively. The other variables were comparable. Combined pre-and post-incisional local wound infiltration in post-caesarean pain relief is superior to each one alone. © 2013 Informa UK, Ltd.