دور التخدير الموضعي في تسكين الالم التالي للعمليات القيصرية

To assess the efficacy of subcutaneous wound infiltration with bupivacaine in relieving pain after cesarean delivery we studied 214 nulliparity pregnant women who underwent cesarean delivery under general anaesthesia. We divided the patients to two groups: Group A (104 patients) received wound infiltration with bupivacaine 20 ml (0,1%). Group B (110 patients) received 75 mg diclofenac intramuscular. We found that the pain level measured by visual analogue scale (VAS) after (2-4-6-8) hour in order: (2.46-2.21-2.08-2.28) group A (4.38-3.28-3.12-3.3) group B at rest. (4.21-3.36-3.1-3.7) group A (5.78-5.67-5.53-5.34) group B at movement or cough and the need of additional analgesia was less in group A (7.69%) than group B (18.18%). In conclusion: wound infiltration with bupivacaine was more effective than diclofenac in relieving pain after cesarean delivery.