Status:

COMPLETED

Oral vs Rectal Admin of Naproxen for Post-Vag Perineal Pain Control

Lead Sponsor:

University of Saskatchewan

Collaborating Sponsors:

Saskatoon Health Region

Conditions:

Post-Vaginal Delivery Perineal Pain

Eligibility:

FEMALE

18-40 years

Phase:

PHASE4

Brief Summary

The primary objective of this study is to determine whether the route of administration of naproxen (either by mouth or rectally) influences post-vaginal delivery perineal pain control.

Detailed Description

Postpartum perineal pain is common after vaginal delivery. Naproxen suppositories have been shown to be effective at reducing postpartum perineal pain. To date, no studies have investigated the effica...

Eligibility Criteria

Inclusion

  • Potential volunteers who meet all of the following criteria are eligible for this study:
  • Active labor, whether spontaneous or induced
  • Age between 18 and 40 years old
  • Nulliparous
  • BMI \< 40
  • Single live intrauterine fetus in cephalic presentation
  • Term gestation (370 weeks to 416 weeks inclusive) as defined by ultrasound or last menstrual period dating
  • Intrapartum epidural labour analgesia
  • Written informed consent

Exclusion

  • Potential volunteers meeting one of more of the following criteria may not be enrolled:
  • Medical conditions including:
  • Naproxen, aspirin or other non-steroidal anti-inflammatory drug hypersensitivity
  • Asthma
  • Peptic ulcer disease or other inflammatory gastrointestinal disease
  • Renal, hepatic or cardiac disease
  • Coagulopathy
  • Rectal or anal pathology including recent (within 1 month) rectal bleeding
  • Prescribed medications including lithium, furosemide, antihypertensives, anticoagulants, aminoglycosides, hydantoins, or sulfonamides
  • Obstetrical conditions including:
  • Multiple pregnancy
  • Extensive perineal trauma (third or fourth degree laceration)
  • Forceps delivery
  • Cesarean section delivery
  • Paracervical or pudendal nerve blocks
  • Vulval or vaginal hematomas
  • Nulliparous women not requiring intrapartum epidural labour analgesia

Key Trial Info

Start Date :

September 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2007

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT00222976

Start Date

September 1 2006

End Date

May 1 2007

Last Update

November 15 2007

Active Locations (1)

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1

Department of Anesthesia, Royal University Hospital, University of Saskatchewan

Saskatoon, Saskatchewan, Canada, S7N 0W8