TY  - BOOK
AU  - Sahar Mamdouh Saber Youness 
AU  - Basma Makin Abdelasem Elrefai , 
AU  - Gomaa Zahry Hussien , 
AU  - Hala Abdelwahab Abdellatif , 
TI  - The effect of pre-incisional local xylocaine injection on post-operative pain after caesarean section / 
PY  - 2015///
CY  - Cairo : 
PB  - Sahar Mamdouh Saber Youness , 
KW  - Cesarean section
KW  - Post-operative pain
KW  - Xylocaine
N1  - Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Gynecology and Obstetrics; Issued also as CD
N2  - Delivery by caesarean section is becoming more frequent, so management of Post-caesarean  section pain is an important issue in obstetrics . Childbirth is an emotion-filled event, and the  mother needs to bond with her baby as early as possible. Any intervention that leads to improvement in pain relief is worthy of investigation. Local anaesthetics have been employed as an adjunct to other methods of postoperative pain relief. local lidocaine infiltration of wound of  cesarean section could significantly reduce post-cesarean pain and also reduce consumption of  narcotics /analgesics used for post-cesarean pain relief. Populations of the study were comprised of  100 pregnant full term female, going to have cesarean section. All patients had cesarean section under general anesthesia and received post-operative analgesia declofenac sodium 75ml supp., every 12 hours, additional analgesia in form of pethidine 50mg IM upon patient request. Pain was  assessed using a 10 point visual analogue scale (VAS) after 1 2, 4, 6, 12 and 24 hours post- operatively. The amount of pethidine consumed after 1, 2, 4, 6, 12 and 24 hours was calculated.  They have been randomized into 2 groups:  1-The 1st group A (n=50 women):  The wound was infiltrated just before start of C.S with 10ml of 0.9% saline. Patient received  declofenac sodium 75ml supp., during the immediate postoperative period and repeated every 12  hours for the first 24 hours, additional analgesia in form of pethidine 50mg IM upon patient request.  2-The 2nd group B (n=50 women):  The wound was infiltrated just before start of C.S, with 10 ml of 2% lidocaine. Patient  received declofenac sodium 75ml supp., during the immediate postoperative period and repeated  every 12 hours for the first 24 hours, additional analgesia in form of pethidine 50mg IM upon  patient request. There was statistically highly significant difference between group B using 10ml of 2% lidocaine compared to control group A in first 4hours in postcasearean section pain and  pethidine consumption. We concluded that infiltration of wound of cesarean section with 10ml of  2% lidocaine just before start of caesarian section under general anaesthesia provided a significant  degree of analgesia as shown by smaller pain scores and reduction in pethidine consumption
ER  -