Comparison of Intramuscular Versus Rectal Diclofenac Sodium in Post Caesarean Pain Relief

  • Beenish Altaf Frontier Crops Hospital, Quetta Pakistan
  • Sanum Kashif frontier corps hospital quetta
  • Shagufta Saeed Sial Holy Family Hospital, Rawalpindi Pakistan
  • Humera Noreen Benazir Bhutto Hospital, Rawalpindi Pakistan
  • Erum Pervaiz Frontier Crops Hospital, Quetta Pakistan
  • Shazia Mahmood Awan Combined Military Hospital Quetta/National University of Medical Sciences (NUMS) Pakistan
Keywords: Caesarean section, Diclofenac Sodium, Post-operative pain


Objective: To compare the mean post-operative pain after intramuscular versus rectal Diclofenac Sodium in post-caesarean patients.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Obstetrics & Gynaecology, Benazir Bhutto Hospital, Rawalpindi Pakistan, from May to Nov 2017.

Methodology: A total of 60 women, aged 18-45years, undergoing elective caesarean section were selected. Patients in Group-A were given, Diclofenac 75mg intramuscularly in the gluteal area every 8 hours, while patients in Group-B received a Diclofenac Sodium suppository every 8 hours post-operatively. All patients were followed for pain post-operatively, and final post-caesarean pain was noted at 24 hours post-operatively using a visual analogue scale.
Results: The mean age of patients in the Group-A was 29.27±4.68 years, and in Group-B was 30.57±4.80years. The range of gestational age in the study was from 37 to 41 weeks, with an average age of 39.07±1.26 weeks. Mean post-operative pain in Group-A (Intramuscular Diclofenac Sodium-Group) was 1.13±0.43 minutes, whereas in Group-B (Rectal Diclofenac SodiumGroup), was 2.16±0.83 (p-value = 0.001).

Conclusion: Mean post-operative pain after using intramuscular Diclofenac sodium is less than Diclofenac Sodium administered rectally in post-operative patients in caesarean sections.


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How to Cite
Altaf, B., Kashif, S., Sial, S. S., Noreen, H., Pervaiz, E., & Awan, S. M. (2022). Comparison of Intramuscular Versus Rectal Diclofenac Sodium in Post Caesarean Pain Relief. Pakistan Armed Forces Medical Journal, 72(6), 1982-85.
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