Impact of Postoperative Pain on Early Initiation of Breastfeeding and Ambulation After Cesarean Section: A Randomized Trial

医学 栓剂 麻醉 止痛药 双氯芬酸 随机对照试验 安慰剂 随机化 曲马多 对乙酰氨基酚 直肠给药 母乳喂养 外科 儿科 病理 替代医学 药理学
作者
Reetu Hooda,Nisha Malik,Prachi Pathak,Hemant More,Vikram Singh
出处
期刊:Breastfeeding Medicine [Mary Ann Liebert, Inc.]
卷期号:18 (2): 132-137 被引量:7
标识
DOI:10.1089/bfm.2022.0208
摘要

Aim: To compare the effect of different analgesic regimens on the time to initiate breastfeeding (BF) and ambulation after cesarean section (CS). Methods: This prospective, double-blinded, placebo-controlled randomized study included 300 women (20–40 years of age) of the American Society of Anesthesiologists status 1 or 2 with singleton term pregnancies scheduled for CS under spinal anesthesia. Women were allocated to three groups of 100 each by computer-generated randomization. As an adjunct to 1,000 mg intravenous acetaminophen, Group 1 received 100 mg rectal diclofenac, Group 2 received 100 mg rectal tramadol, and Group 3 received rectal glycerin suppository. The time to initiate BF and ambulation was compared between different analgesic regimens and corelated with pain score. Results: BF (both with and without support) was initiated significantly earlier in Groups 1 and 2 as compared with control Group 3 (p < 0.001). A significantly shorter time was taken to initiate BF without support in Group 1 as compared with Group 2 (p = 0.028). The time to start ambulation (both with and without assistance) was significantly lower in Groups 1 and 2 as compared with Group 3 and in Group 1 versus Group 2 (p < 0.001). A significant positive correlation was found between the time to initiate BF with support and ambulation without assistance and postoperative pain score at 0, 1, and 6 hours. Conclusion: Effective post-CS analgesia affects early initiation of BF and ambulation in the immediate postnatal period. The inclusion of rectal diclofenac suppository in post-CS analgesic regimens is a promising approach to postoperative delivery care.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
yang发布了新的文献求助10
刚刚
1秒前
卡列林发布了新的文献求助10
3秒前
Jasper应助澡雪采纳,获得10
3秒前
研友_VZG7GZ应助星期八采纳,获得10
4秒前
Hayat发布了新的文献求助20
5秒前
韩涵发布了新的文献求助10
5秒前
6秒前
太陽完成签到 ,获得积分10
6秒前
6秒前
7秒前
不过尔尔完成签到,获得积分20
7秒前
10秒前
李健应助卡列林采纳,获得10
10秒前
拾新发布了新的文献求助10
11秒前
12秒前
12秒前
13秒前
小马甲应助如意的听云采纳,获得10
14秒前
iNk应助瞿人雄采纳,获得20
14秒前
15秒前
tzy发布了新的文献求助10
16秒前
星期八发布了新的文献求助10
17秒前
小小红帽发布了新的文献求助10
17秒前
傲娇以晴完成签到 ,获得积分10
18秒前
JamesPei应助xinxin采纳,获得10
18秒前
18秒前
风趣的老太应助bofu采纳,获得10
19秒前
脑洞疼应助魏家乐采纳,获得10
20秒前
天气好好发布了新的文献求助10
20秒前
yep发布了新的文献求助10
21秒前
lanmo完成签到,获得积分10
21秒前
21秒前
22秒前
CipherSage应助拾新采纳,获得10
23秒前
24秒前
wyy完成签到,获得积分10
25秒前
田様应助武雨寒采纳,获得10
25秒前
阿桂完成签到,获得积分10
25秒前
陈可可发布了新的文献求助10
25秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3975814
求助须知:如何正确求助?哪些是违规求助? 3520123
关于积分的说明 11201020
捐赠科研通 3256502
什么是DOI,文献DOI怎么找? 1798347
邀请新用户注册赠送积分活动 877523
科研通“疑难数据库(出版商)”最低求助积分说明 806417