Decreased postpartum use of oral pain medication after a single dose of epidural morphine

Goodman, Stephanie R.; Drachenberg, Ana M.; Johnson, Sally; Negron, Maria A.; Kim-Lo, Susan H.; Smiley, Richard M.

doi:10.1016/j.rapm.2004.11.010

Cited by 20 publications

(6 citation statements)

References 14 publications

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“…Pain after vaginal delivery may result from episiotomy, perineal laceration or uterine involution. This is usually treated with oral medications [27]. Our results are compatible with reports showing the analgesic effect of music on postoperative patients.…”

Section: Discussionsupporting

confidence: 91%

Effect of Music on Labor Pain Relief, Anxiety Level and Postpartum Analgesic Requirement: A Randomized Controlled Clinical Trial

Simavlı

Gümüş

Kaygusuz

et al. 2014

Gynecol Obstet Invest

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Background/Aims: The control of labor pain and the prevention of suffering are major concerns of clinicians and their patients. The aim of this study was to evaluate the effect of music on labor pain and anxiety, maternal hemodynamics, fetal-neonatal parameters and postpartum analgesic requirement in primiparous women. Methods: Overall, 156 primiparous women who expected vaginal delivery were recruited and randomly assigned to a music group (n = 77) or a control group (n = 79). Women in the music group listened to music during labor. Pain intensity and anxiety level were measured using a visual analogue scale (0-10 cm). The two groups were compared in terms of pain severity, anxiety level, maternal hemodynamics, fetal-neonatal parameters and postpartum analgesic requirement. Results: Mothers in the music therapy group had a lower level of pain and anxiety compared with those in the control group at all stages of labor (p < 0.001). A signiﬁcant difference was observed between the two groups in terms of maternal hemodynamics and fetal heart rate after intervention (p < 0.01). Postpartum analgesic requirement significantly decreased in the music therapy group (p < 0.01). Conclusion: Listening to music during labor has a positive impact on labor pain and anxiety, maternal-fetal parameters and analgesic requirement.

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Section: Discussionsupporting

confidence: 91%

Effect of Music on Labor Pain Relief, Anxiety Level and Postpartum Analgesic Requirement: A Randomized Controlled Clinical Trial

Simavlı

Gümüş

Kaygusuz

et al. 2014

Gynecol Obstet Invest

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show abstract

“…The study of Macdonald and Smith 8 evaluated only women with episiotomies because the investigators thought that this degree of perineal trauma necessitated additional analgesia. The 2 largest studies 8,9 and our study had the highest quality (Ն4/5 Jadad score 11 ) and found a similar drug-sparing effect in the epidural morphine compared with saline groups. The 2 small studies* † reported only as abstracts did not find a reduction in maternal VAS pain scores during the first 24 h postpartum.…”

Section: Discussionsupporting

confidence: 60%

A Randomized, Double-Blind, Placebo-Controlled Trial of Epidural Morphine Analgesia After Vaginal Delivery

Macarthur¹,

Imarengiaye²,

Tureanu³

et al. 2010

Anesthesia &Amp; Analgesia

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“…23 Addition of buprenorphine intrathecally or epidurally provides a good postoperative analgesia without prolonged motor block. 14,15 A study by Shaloo Ipe et al observed that 150mcg buprenorphine was not as effective as 300 mcg buprenorphine given epidurally where the duration of analgesia was highest, though the analgesic effect of buprenrphine given intrathecally was quite effective with 50% patients showing the effect for 6 hours. 16 Some investigators have demonstrated that by using buprenorphine alone epidurally, in doses of 1 to 4 mg, varying durations of pain relief ranging from 2.5 to 9 hours are observed.…”

Section: Discussionmentioning

confidence: 99%

Comparative study of intrathecal bupivacaine 0.5% with bupivacaine 0.5% and buprenorphine low dose for postoperative analgesia in lower abdominal surgeries

Rao¹,

Prakash²

2016

Int Surg J

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INTRODUCTIONPain is one of the most common and uncomfortable consequences of a surgery, feared by all. Effective and rapid relief from pain is always a challenge, but is necessary for alleviating nocioception -induced responses like endocrine metabolic responses to surgery, autonomic reflexes with adverse effects on organ function, reflexes leading to muscle spasm, and other undesirable results. 1 ABSTRACT Background: Opiods, like buprenorphine, have been widely used for providing pain relief postoperatively and their advantages of neuraxial narcotics over systemic narcotics are well established. When compared to local anaesthetics, they offer good analgesia while allowing early ambulation of the patient by sparing sympathetic and motor nerves. This study was conducted to compare the efficacy of bupivacaine alone and in combination with low dosage of buprenorphine. Methods: 80 patients between the ages 20-60 undergoing lower abdominal surgeries were divided into 2 groups of 40 each after taking detailed history and undergoing the necessary preliminary tests. Patients in the Group I was given 17.5mg of 0.5% Hyperbaric Bupivacaine along with 60ug of Buprenorphine. The patients in Group II received 17.5mg of 0.5% Hyperbaric Bupivacaine. Onset and duration of analgesia were recorded. The efficacy of analgesia was recorded based on VAS score. Side effects, time of recovery also were noted. Results: In this retrospective study we found that incidence of colorectal carcinoma is more between 40-60 years of age with male predominance; lymph node metastasis is more than metastasis in any other sites. CT scan can diagnose lymphatic metastasis and infiltration in surrounding tissue more accurately. Percentage of sphincter saving procedure was low in rectal malignancies in our study. Conclusions: The onset of analgesia was within 5 minutes in 100% of the cases in Group I while in Group II it was upto 9 minutes. The mean of the duration of analgesia was 15h 33mins and 3 h 18 mins in Group I and II respectively. The pain scoring through VAS in the 2 groups showed that most of the patients in Group I had 0 to mild pain till about 12 hours while in Group II the analgesic effect was felt only till the first 2 hours. The supplementary analgesic was required on Group II within 4 hours post operatively while in Group I the requirement was only after 12 hours. The major side effect among the patients was vomiting and nausea in 12 patients in Group I followed by urinary retention in 6 patients. While in Group II only 6 patients had nausea and no other side effect. Pruritis was observed in 1 patient in Group I Respiratory distress, drowsiness, headache and backache was not observed in any of the cases.

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Decreased postpartum use of oral pain medication after a single dose of epidural morphine

Abstract: These results suggest that epidural morphine decreases the need for oral pain medication in the first 24 hours postpartum. No significant dose-dependent side effects were found.

Cited by 20 publications

References 14 publications

Effect of Music on Labor Pain Relief, Anxiety Level and Postpartum Analgesic Requirement: A Randomized Controlled Clinical Trial

Effect of Music on Labor Pain Relief, Anxiety Level and Postpartum Analgesic Requirement: A Randomized Controlled Clinical Trial

A Randomized, Double-Blind, Placebo-Controlled Trial of Epidural Morphine Analgesia After Vaginal Delivery

Comparative study of intrathecal bupivacaine 0.5% with bupivacaine 0.5% and buprenorphine low dose for postoperative analgesia in lower abdominal surgeries

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