Z Geburtshilfe Neonatol 2019; 223(S 01): E29
DOI: 10.1055/s-0039-3401134
Vorträge
Georg Thieme Verlag KG Stuttgart · New York

Oral versus intravenous morphine for pain after caesarean section

B Freimüller
1   Medizinische Universität Graz, Graz, Österreich
2   Landesklinikum Graz, Gynäkologie und Geburtshilfe, Graz, Österreich
,
FH Tiefenbacher
1   Medizinische Universität Graz, Graz, Österreich
2   Landesklinikum Graz, Gynäkologie und Geburtshilfe, Graz, Österreich
,
EC Weiss
1   Medizinische Universität Graz, Graz, Österreich
2   Landesklinikum Graz, Gynäkologie und Geburtshilfe, Graz, Österreich
› Author Affiliations
Further Information

Publication History

Publication Date:
27 November 2019 (online)

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Objective:

We sought to test the hypothesis that oral drug administration is superior to intravenous drug administration to reduce postoperative pain after caesarean section.

Methods:

In a secondary analysis of a prospective birth registry we identified 70 women who received CS in a four month period at a single center which replaced intravenous by oral administrated pain management.

Half of the patients were assigned to intravenous opioid/NSAID (IVO) and oral opioid/NSAID (ORO) therapy, respectively.

Results:

Patients after oral pain management had significantly less surgical site pain than patients after intravenous pain management.

Median peak pain score on first post-operative-day (pod1) were 5,00 (intraquartile range 3,50 – 6,00) for IVO and 2,00 (intraquartile range 2,00 – 3,00) for ORO respectively (P-Value < 0,0001). The mean number of administrated doses of opioids and NSAIDs was significantelly less in the oral group.

There was no difference in patient characteristics and neonatal outcome.

Conclusion:

An oral approach to pain therapy after caesarean section appears to reduce postoperative pain. We observed a high compliance to this management.