Abstract

The aim of the present study was to compare the control of pain using visual analog scale following perineal repair using local lignocaine gel versus placebo at definite time intervals for a period of 48 hours. Methods: The study was carried out in labor room in BRD Medical College Gorakhpur and 276 patients were included in the study and divided into two groups: Group A- 2% LIGNOCAINE GEL + PLACEBO TABLET, Group B- PLACEBO GEL + ACECLOPARA. The perineal pain was evaluated using the visual analogue scale and pain scale was done at 6, 12, 24 and 48 hours post-episiotomy. Results: Comparable findings were found in intervention and non-intervention group in terms of socio-economic determinants, maternal determinants (mode of delivery, parity, Hb, TLC) and fetal determinants (birth weight, presentation and foetal outcome ) and P value was not found to be significant. The pain score on visual analog scale at immediate post episiotomy repair, at 6 hours, 12 hours, 24 hours and at 48 hours was assessed and Pain score was comparatively less at 24 hours and 48 hours. P value was found to be significant at 24 hours and 48 hours. Intervention group had better pain relief at 24 hours and 48 hours. Pain relief was for more duration in lignocaine gel than aceclopara tablets and also requirement for supplemental analgesic was less with lignocaine gel. Most of the patients performed local gel applications. Conclusion: This study showed that the use of 2% lidocaine gel for repair of episiotomy after childbirth gives satisfactory results for the women. These are in terms of low pain score on visual analog scale at 24 hours and 48 hours, duration of pain relief and demand for supplemental analgesia by the mother. Also the patients preferred local gel application due to the mode and ease of administration with negligible systemic absorption and minimal side effects.

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