Cesarean section incisional infiltration with lidocaine and Epinephrine versus Lidocaine alone in reducing postoperative pain. A randomized controlled double-blinded clinical trial

Abstract

esarean section delivery is becoming more frequent. Childbirth is an emotion-filled event and the mother needs to bond with her newborn baby as early as possible. Any intervention that leads to improvement in pain relief is worthy of investigation (Bamigboye, 2010). The progressive increase in the incidence of caesarean birth has been a notable feature of contemporary obstetric practice and caesarean delivery is now the most frequent major surgical procedure performed in obstetrics (Martin et al., 2002). According to the American Society of Anesthesiologist practice guidelines for acute pain management in the perioperative setting, acute pain is defined as pain present in a surgical patient after a procedure. The WHO described pain relief as a human right. Poorly managed post operative pain can lead to complications and prolonged rehabilitation. Uncontrolled acute pain is associated with the development of chronic pain with reduction in quality of life. Appropriate pain relief, reduces hospital costs, and increased patient satisfaction. (Kehlet H etal.,2001)