Abstract
Objective: The purpose of this study was to determine whether oral analgesia with oxycodone-acetaminophen or a patient-controlled analgesia device with morphine provides superior analgesia after cesarean delivery. Study design: Ninety-three patients with scheduled cesarean delivery were assigned randomly to receive either oral analgesia with oxycodone-acetaminophen or a morphine patient-controlled analgesia device. At 6 and 24 hours after the procedure, pain was assessed on a visual analog pain scale of 0 to 10. Nausea, sedation, pruritus, ambulation, emesis, and oral fluid intake were also assessed. Results: Patients who used oral analgesia without a patient-controlled analgesia device experienced less pain at 6 and 24 hours after cesarean delivery. They also had less nausea and drowsiness at 6 hours but slightly more nausea at 24 hours. Conclusion: Oral analgesia with oxycodone-acetaminophen may offer superior pain control after cesarean delivery with fewer side-effects as compared with morphine patient-controlled analgesia. Consideration should be given to expanding the use of oral analgesia in patients immediately after cesarean delivery.
Original language | English (US) |
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Pages (from-to) | 967-971 |
Number of pages | 5 |
Journal | American journal of obstetrics and gynecology |
Volume | 194 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2006 |
Keywords
- Cesarean delivery
- Oral analgesia
- Postoperative pain
ASJC Scopus subject areas
- Obstetrics and Gynecology