Post Operative Pain Clinical Trial
Official title:
Routine Cervical Dilatation at the Non-labor Caesarean Section and Its Influence on Postoperative Pain: A Randomised Controlled Trial
Caesarean section is a common method of delivery in obstetrics. With the recent increase in the rate of this procedure, it is wise to understand and implement the optimal surgical technique. Therefore, different operational methods have been defined to reduce the risk of peri/post-operative morbidity. The digital dilatation of cervix during elective caesarean section has still been a concern when evaluating this issue. This procedure is supposed to help the drainage of blood and lochia postpartum, thus reducing infection or the risk of postpartum haemorrhage (PPH). However, on the contrary, this mechanical manipulation may also result in contamination by a vaginal micro-organism and increase the risk of infections or cervical trauma. Additionally, the effect of routine cervical dilatation on patients' perception of pain has not been studied sufficiently yet. As a result, the current literature lacks evidence of cervical dilatation on postoperative pain and is even not all in agreement regarding the potential benefits on overall maternal morbidity.
Caesarean section is a common method of delivery in obstetrics. With the recent increase in the rate of this procedure, it is wise to understand and implement the optimal surgical technique. Therefore, different operational methods have been defined to reduce the risk of peri/post-operative morbidity. The digital dilatation of cervix during elective caesarean section has still been a concern when evaluating this issue. This procedure is supposed to help the drainage of blood and lochia postpartum, thus reducing infection or the risk of postpartum haemorrhage (PPH). However, on the contrary, this mechanical manipulation may also result in contamination by a vaginal micro-organism and increase the risk of infections or cervical trauma. Additionally, the effect of routine cervical dilatation on patients' perception of pain has not been studied sufficiently yet. As a result, the current literature lacks evidence of cervical dilatation on postoperative pain and is even not all in agreement regarding the potential benefits on overall maternal morbidity. In this prospective study, our primary aim is to evaluate the effect of intra-operative digital dilatation of cervix on post-operative pain. We hypothesize that dilatation of the cervix as compared with non-dilatation will result in less pain by reducing fluid and blood stasis inside the uterine cavity. Our secondary objective is to assess the maternal morbidity including a reduction in haemoglobin concentrations, puerperal fever, puerperal endometritis and wound infection. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT05619796 -
Assessment of Clinical & Radiographic Efficiency of Manual & Pediatric Rotary Systems in Primary Root Canal Preparation
|
N/A | |
| Recruiting |
NCT05338671 -
Effect of Post-Operative Anesthetics on Post-Operative Pain in Patients Receiving Endodontic Treatment
|
Phase 4 | |
| Completed |
NCT05584696 -
Effectiveness of Green Color Exposure on Dental Anxiety
|
N/A | |
| Completed |
NCT05593341 -
Opioid Education in Total Knee Arthroplasty
|
N/A | |
| Not yet recruiting |
NCT05255146 -
Cryoanalgesia and Post-thoracotomy Pain in Minimally Invasive Cardiothoracic Surgery
|
N/A | |
| Not yet recruiting |
NCT06020196 -
The Safety and Efficacy of Surgical Rectus Sheath Block for Postoperative Analgesia After Elective Cesarean Delivery
|
N/A | |
| Completed |
NCT01697748 -
Prospective Study on Cesarean Wound Outcomes
|
N/A | |
| Completed |
NCT01681966 -
A Single-dose Open-Label Study to Assess the Safety and Preliminary Efficacy of PRF 110 in Open Herniorrhaphy Surgery
|
Phase 2 | |
| Completed |
NCT01442818 -
Patient Satisfaction and Pain Control Following Reconstructive Vaginal Surgery
|
N/A | |
| Completed |
NCT00625911 -
Ketamine Improves Post-Thoracotomy Analgesia
|
N/A | |
| Terminated |
NCT05494125 -
Effects of Continuous ESP Catheters on Recovery, Pain and Opioid Consumption After Multilevel Spine Surgery
|
N/A | |
| Recruiting |
NCT04767399 -
Comparison of Postoperative Pain After Instrumentation in Different Visits With Different Single File Systems.
|
N/A | |
| Not yet recruiting |
NCT05863624 -
Open and Endoscopic Technique in Female Inguinal Hernia Repair. FemaleHernia
|
N/A | |
| Completed |
NCT06048744 -
Ultrasound Guided Erector Spinae Plane Block vs External Oblique Intercostal Plane Block for Nephrectomy
|
N/A | |
| Active, not recruiting |
NCT05374499 -
Double-Blinded Randomized Controlled Study Investigating the Efficacy of Exparel (Liposomal Bupivacaine) for Postoperative Pain Relief in Mandibular Third Molar Extractions
|
Phase 4 | |
| Completed |
NCT06082479 -
The Effect of Intra Oral Cryotherapy in Patients With Symptomatic Apical Periodontitis
|
N/A | |
| Completed |
NCT05510947 -
Acute Postoperative Pain and Catastrophizing in Patients Undergoing Unicompartmental Knee Arthroplasty
|
||
| Completed |
NCT06065683 -
Acute Postoperative Pain Prevalence and Intensity in the First 72 Hours
|
||
| Completed |
NCT05552391 -
Dexametomedine Versus Ketamine as an Adjuvant in Erector Spinae Block for Perioperative Thoracotomy Pain Control
|
Phase 4 | |
| Recruiting |
NCT04909060 -
Does the Newborn Infant Parasympathetic Evaluation (NIPE) Index Predict Postsurgical Pain in Children
|