Childbirth Clinical Trial
Official title:
Comparison Of The Analgesia Obtained By Infiltration Of Lidocaïne 1% And Ropivacaïne 0,75% Versus Placebo For The Joinings Of Episiotomies Among Parturients Under Epidural Analgesia
Lateral episiotomy is a current care practiced with childbirth room. One of the problems
encountered with this surgical act is the residual pain on perineal scar level. Maximal
during the first 24 hours, this pain can persist several days or several weeks hampering to
variable degrees a normal recovery of autonomy and comfort of life. Some studies have shown
the interest of ropivacaine, local anaesthetic with a long action's duration for proctologic
surgeries and for the cure of inguinal hernia. A recent study shown the ropivacaine perineal
infiltration used prior perineorrhaphy allows an absence of post-partum pain for 24 to 27%
of cases and a first analgesics request delayed to ten hours.
Methodology: 165 parturients having an epidural analgesia and an episiotomy were enrolled.
The perineal infiltration was randomized according to 3 equal groups (placebo, ropivacaine
0,75%, lidocaine 1%) and realised prior perineorrhaphy. then The parturient were followed
during the 24 first hours. This study was designed as double blind and the study conduct was
standardized in order to get only variable such as the episiotomy infiltration.
n/a
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Prevention
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