RECRUITING

Post-cesarean Analgesia: Comparing Effectiveness of Staggered v. Simultaneous Therapies

Description

Cesarean delivery is a commonly performed surgical procedure associated with worse postpartum pain when compared to vaginal birth. Uncontrolled postpartum pain is associated with increased neonatal and maternal risks. Multimodal non-opioid pain medications, including acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) are the preferred first-line therapies. There is no standard practice, however, on best dosing schedules (ie staggered or different time v. simultaneous or same time). This protocol describes a randomized clinical trial aimed to determine whether staggered dosing of acetaminophen and NSAIDs in superior to simultaneous dosing in controlling post-cesarean pain.

Study Overview

Study Details

Study overview

Cesarean delivery is a commonly performed surgical procedure associated with worse postpartum pain when compared to vaginal birth. Uncontrolled postpartum pain is associated with increased neonatal and maternal risks. Multimodal non-opioid pain medications, including acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) are the preferred first-line therapies. There is no standard practice, however, on best dosing schedules (ie staggered or different time v. simultaneous or same time). This protocol describes a randomized clinical trial aimed to determine whether staggered dosing of acetaminophen and NSAIDs in superior to simultaneous dosing in controlling post-cesarean pain.

PACESS: Post-cesarean Analgesia: Comparing Effectiveness of Staggered v. Simultaneous Therapies

Post-cesarean Analgesia: Comparing Effectiveness of Staggered v. Simultaneous Therapies

Condition
Cesarean Delivery
Intervention / Treatment

-

Contacts and Locations

Philadelphia

Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, United States, 19107

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * \>/= 34 weeks gestation
  • * Singleton pregnancy
  • * Delivery via cesarean section under regional anesthesia
  • * Contraindication to acetaminophen or NSAIDs
  • * Current or history of opioid use or misuse
  • * Intrauterine fetal demise
  • * Major congenital anomaly
  • * Conversion to general anesthesia intra-op or planned general anesthesia
  • * Mid-line vertical skin incision
  • * Receipt of intraoperative local analgesia such as Transversus Abdominis Plan (TAP) block or wound infiltration

Ages Eligible for Study

16 Years to

Sexes Eligible for Study

FEMALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Thomas Jefferson University,

Study Record Dates

2027-12