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Oral Tramadol Versus Oral Celecoxib for Post-perineal Repair Analgesia

Sponsor:
Collaborators:
Information provided by (Responsible Party):
Ahmed Samy aly ashour,Cairo University
October 2, 2018
October 3, 2018
October 3, 2018
October 10, 2018
December 5, 2018   (Final data collection date for primary outcome measure)
perineal pain[ Time Frame: 1 hour after repair of episiotomy ]
perineal pain severity using visual analogue scale

Same as current
  • perineal pain[ Time Frame: 1 hours after repair of episiotomy ]
    perineal pain severity using visual analogue scale
 

Oral Tramadol Versus Oral Celecoxib for Post-perineal Repair Analgesia

Oral Tramadol Versus Oral Celecoxib for Post-perineal Repair Analgesia After Spontaneous Vaginal Birth in Obese Women: A Randomised Controlled Trial

This trial will be performed to compare the effectiveness of oral tramadol versus oral celecoxib for the management of perineal pain following episiotomy or perineal tear repair after spontaneous vaginal birth in obese women

Pain after episiotomy or tear of perineal tissues during childbirth is often inadequately treated and may be severe. Not only did perineal pain negatively affect the physical and mental functioning of the woman, but also it might decrease the success of breastfeeding and reduced her ability to care for her child. The methods of relieving perineal pain included medication and non-medication. When the perineal pain was mild, the most common analgesic used was acetaminophen. Whereas the perineal pain was more severe, other drugs had been chosen such as opioid, non-opioid, and a combination of both opioid and non-opioid analgesics
Interventional
Phase 4
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Masking: Interventional
Masking Description:
Primary Purpose: Treatment
  • Drug: Tramadol Hydrochloride
    one tablet of Tramadol 100 mg (Tramaw, Global Napi, Giza,Egypt) administered orally immediately, 12 h and 24 h after randomization.
  • Drug: Celecoxib 200mg
    Celecoxib 200 mg (Celebrex® 200, Pfizer,USA) administered orally immediately, 12 h and 24 h after randomization.
  • Experimental: tramadol
    one tablet of Tramadol 100 mg (Tramaw, Global Napi, Giza,Egypt) administered orally immediately, 12 h and 24 h after randomization.
  • Active Comparator: celecoxib
    one tablet of Celecoxib 200 mg (Celebrex® 200, Pfizer,USA) administered orally immediately, 12 h and 24 h after randomization.
 
Not yet recruiting
200
Same as current
December 10, 2018
December 5, 2018   (Final data collection date for primary outcome measure)
Inclusion Criteria: - Age:18-35 years - Obese women with BMI ≥ 30. - completed full 37-weeks gestation. - spontaneous vaginal delivery with medio-lateral episiotomy or perineal tear requiring repair. - Singleton alive fetus. Exclusion Criteria: - known allergy to investigated drugs(tramadol or celecoxib). - regular use of analgesic drugs before or during pregnancy. - any medical condition known to be potentially exacerbated by opioids, including alimentary canal disorders, hepatic and renal disease. - instrumental vaginal delivery. - 3rd or 4th degree perineal tear. - severe postpartum haemorrhage (>1,500 ml). - complicating maternal diseases (pregestational/gestational diabetes mellitus; bleeding disorders; pre-eclampsia and other hypertensive disorders of pregnancy). - epidural nor combined spinal-epidural analgesia in labour - a history of peptic ulcer,asthma,thrombocytopaenia.
Sexes Eligible for Study: Female
18 Years and older   (Adult, Older Adult)
No
 
 
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD:
Ahmed Samy aly ashour,Cairo University
Cairo University
Principal Investigator: AHMED SAMY, MD Cairo University
Cairo University
October 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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