بررسی‌ تأثیر شیاف‌ دیکلوفناک‌ بر شدت‌ درد پرینه‌ پس‌ از زایمان‌

 Background: Pain is nor always the result of illness or trauma it is also a positive experience in labor and delivery. Pain, due to perineal tear and episiotomy causes distress and anxiety and delays the due emotional tie between mother and the new born. The relief of pain with the aid of non steroid anti- inflammatory sedatives like diclofenac suppositories may result in an improved family health and the mother's ability for self and infant care.  Objective: To determine the effects of diclofenac suppository on the intensity of post delivery perineal pain. Design: A clinical trial conducted double blind on a random and control group. First, immediately after perineal repair immediately the intensity of perineal pain was measured with a graduated roller and the first dose of rectal suppository was inserted. The pain was measured by the graduated ruller 12 hours post medication insertion and shown to the subject for identifying the intensity of perineal pain at 24 + 3 48+ 3 and 72+3 hours post delivery a zero score on the answer sheet was evaluated as no pain 1-3 in significant 4-7 moderate and 10 intense pain. Samples: A total of 80 women (first or second delivery) with mediolateral episiotomy or a second degree perineal tear participated in the study the age range was 18-35 years. A non probable continuous group was selected and randomly divided in two groups of 40 each (the study- diclofenac and the control – placebo)  Results: The mean pain score 12 hours post delivery in the diclofenac group against the placebo group showed a slight significant difference (p=0.08) the mean pain score 48 hours post partum in the two groups showed a significant different (p=0.03) no significant differences were estimated in the scores 24 and 72 hours post partum in the study and the control group .  Conclusion: Diclofenac suppositories showed to be effective in decreasing perineal pain 12 and 48 hours post delivery. Even though statistical tests showed no difference 24 hours post delivery in the two groups yet the medication can well be utilized for post delivery perineal pain relief. Since diclofenac 100 M.G. Suppositories were used only twice in this study prescribing more frequent doses may bring better relief for which further research is recommended.