scholarly journals Comparison of the Effects of Lidocaine-Prilocaine Cream and Lidocaine Injection on the Reduction of Perineal Pain While Doing and Repairing Episiotomy in Natural Vaginal Delivery: Randomized Clinical Trial

2019 ◽  
Vol 9 (3) ◽  
Author(s):  
Zahra Moradi ◽  
Roya Kokabi ◽  
Fatemeh Ahrari
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Vaginal Delivery ◽  
Perineal Pain ◽  
Lidocaine Injection ◽  
Lidocaine Prilocaine

scholarly journals Perineal Pain Management with Cryotherapy after Vaginal Delivery: A Randomized Clinical Trial

2016 ◽  
Vol 38 (07) ◽  
pp. 325-332 ◽  
Author(s):  
Ítalo Morais ◽  
Andréa Lemos ◽  
Leila Katz ◽  
Lorena Melo ◽  
Mariano Maciel ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Pain Management ◽  
Randomized Clinical Trial ◽  
Vaginal Delivery ◽  
Perineal Pain

scholarly journals A Randomized Clinical Trial to evaluate the Effect of Therapeutic Ultrasound and Low-level Laser Therapy on Perineal Pain following Vaginal Delivery with Episiotomy

2015 ◽  
Vol 7 (3) ◽  
pp. 152-156
Author(s):  
Ashwini Chougala ◽  
Arati Mahishale
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Laser Therapy ◽  
Vaginal Delivery ◽  
Therapeutic Ultrasound ◽  
Low Level Laser Therapy ◽  
Perineal Pain ◽  
Low Level ◽  
Low Level Laser ◽  
Level Laser

ABSTRACT Background and objectives Vaginal delivery has an enormous amount of pressure on the perineum, the area between vagina and anus, which must stretch to accommodate the baby's head during its passage through the birth canal. During childbirth, the perineum may tear or the obstetrician may decide to incise to make wider opening for baby's head to pass, a procedure called as episiotomy. The area of episiotomy may be uncomfortable and painful for several days. The present study aimed to evaluate the effect of therapeutic ultrasound and low-level laser therapy (LLLT) on perineal pain following vaginal delivery with episiotomy. Materials and methods Sixty women, who underwent vaginal delivery with episiotomy, complaining of perineal pain were recruited and randomly allocated to two treatment groups. Physiotherapy intervention included cryo gel pad and therapeutic ultrasound in group A and cryo gel pad and lowlevel laser therapy in group B once daily for 3 consecutive days. Outcomes Measures were documented using visual analog scale (VAS) for pain and REEDA scale (redness, edema, ecchymosis, discharge, approximation) for healing on 1st day preintervention and 3rd day postintervention respectively. Results The study results showed that there was statistically significant improvement postintervention in both the groups with p < 0.05, although therapeutic ultrasound with cryo gel pad showed better reduction in pain score and healing process as compared to low-level laser therapy. Conclusion Therapeutic ultrasound with cryo gel pad can be used to reduce perineal pain following vaginal delivery with episiotomy. How to cite this article Chougala A, Mahishale A. A Randomized Clinical Trial to evaluate the Effect of Therapeutic Ultrasound and Low-level Laser Therapy on Perineal Pain following Vaginal Delivery with Episiotomy. J South Asian Feder Obst Gynae 2015;7(3):152-156.

The Effect of Olive Oil and Honey Combination on Episiotomy Wound Healing and Pain Relief: A Randomized Clinical Trial

2020 ◽  
Vol 16 (2) ◽  
pp. 145-151
Author(s):  
Arezoo Shayan ◽  
Hadis Sourinezhad ◽  
Fariba Barzegar ◽  
Hassan Ahmadinia ◽  
Zahra Masoumi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Wound Healing ◽  
Pain Relief ◽  
Pain Intensity ◽  
Olive Oil ◽  
Randomized Clinical Trial ◽  
Intervention Group ◽  
Perineal Pain ◽  
Control Group ◽  
Primiparous Women

Background: Episiotomy is one of the most common surgical procedures in the world that is associated with perineal pain and can be exposed to infection, or might be healed with delay. Objective: The aim of this study was to investigate the effects of honey-olive oil combination on episiotomy wound healing and pain relief in primiparous women. Methods: This single-blind, parallel randomized clinical trial (IRCT20120215009014N208) was conducted on 80 primiparous women. They were allocated randomly to each of the groups through random allocation rule: 40 in honey-olive oil group and 40 in the control group. Every 12 hours and for 14 days, the treatment group used about 1 inch of the cream on the wound area. Pain intensity and wound healing were measured by REEDA Scale and Visual Analogue Scale on days 7, 10, and 14 in both groups. The statistical analyst was not informed about the allocation of the groups. A significant level of 0.05 was considered. Results: There was a significant difference between healing score and pain intensity between the two groups on 7th, 10th and 14th postpartum days (p <0.05). Wound healing occurred much faster (Scores on days 7,10, and 14 were 11.25±2.13, 7.47±1.96 and 4.95±1.53 in the control group and 4.45±1.25, 2.32±.69 and 10±.30 in the intervention group, p <0.05). Moreover, pain intensity was significantly relieved in those who used Honey and olive oil cream (the scores were 5.6750±1.43, 3.3500±1.52, 2.2250±1.34 in the control group and 1.9750±1.52, .2250±.57, .0250±.15 in the intervention group, p<0.05). Conclusion: Using honey and olive oil combination improves episiotomy wound healing and also relieves its’ associated pain.

scholarly journals 222: Personalizing twin delivery management: A secondary analysis of a randomized clinical trial comparing planned caesarean or planned vaginal delivery

2018 ◽  
Vol 218 (1) ◽  
pp. S146
Author(s):  
M. Hadi Zafarmand ◽  
Simone M. Goossens ◽  
Parvin Tajik ◽  
Patrick M. Bossuyt ◽  
Elisabeth V. Asztalos ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Vaginal Delivery ◽  
Secondary Analysis ◽  
Twin Delivery

scholarly journals Pilot Randomized Clinical Trial Study: Comparative Study of 10% Lidocaine Hydrochloride Solution with Lidocaine Prilocaine Emulsion Prior to Local Anesthetic Injection

2020 ◽  
Vol 13 (1) ◽  
pp. 47-51
Author(s):  
Naser Sargolzaei ◽  
Omid Rajabi ◽  
Yasaman Aleyasin ◽  
Kamran Ebrahimi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Local Anesthetic ◽  
Lidocaine Hydrochloride ◽  
Secondary Outcome ◽  
Age And Gender ◽  
Topical Anesthetics ◽  
Significant Difference ◽  
And Gender ◽  
Lidocaine Prilocaine

Background: The pain caused by the injection of local anesthetic has been reported as one of the main complaints of dental patients. Topical anesthetics are widely used drugs in dentistry, mainly to control pain associated with the needle penetration in the administration of local anesthesia. Objective: The present study aimed to evaluate (5%,7.5% and 10%) concentrations of lidocaine/prilocaine agent, compared to the common 10% lidocaine hydrochloride spray in the oral cavity. Materials and Methods: This was a split-mouth double-blind, randomized clinical trial pilot study. We randomized 15 patients, ages 35 to 64 years, with American Society of Anesthesiologists I and II with severe chronic periodontitis who were referred to the dental clinic for surgery, to receive 4 topical anesthetics (5%, 7.5%, and 10%) lidocaine prilocaine emulsion and 10% lidocaine hydrochloride topical anesthetic agent before local infiltration. Primary outcomes were assessing drug safety and pain level that measured by assessment of visual analog scale (VAS) scores of pain during LA injection in the first premolar and second molar in each maxillary quadrant in 15 patients corresponding to the posterior superior alveolar nerve (PSA) and secondary outcome was the relationship between age and gender regarding pain perception, and a total of 60 regions were analyzed. Results: Results revealed that there was no statistically significant difference between lidocaine hydrochloride and (5%,7.5% and 10%) lidocaine prilocaine in terms of pain reduction when the 4 different compounds were compared. According to Spearman's rank correlation coefficient and Friedman test, the age and gender of the patients had an insignificant correlation with the anesthetic effects of the four studied solutions. Conclusion: Based on these results, age and gender have insignificant effects on the pain scores and it can be said that the four solutions do not have significant differences regarding their anesthetic effects; also, we did not find any adverse reactions by using 7.5% and 10% lidocaine/prilocaine agent.

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