Journal of Obstetric and Gynaecological Practices POGS

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 1 , ISSUE 1 ( January-June, 2023 ) > List of Articles

Original Article

A Comparison of the Effects of Injecting Paracetamol and Transdermal Diclofenac Patch as Analgesics After Cesarean Birth

Sushil Chawla, KG Vivek, CH Anupama

Keywords : Diclofenac patch, Inj paracetamol, Postoperative analgesia

Citation Information : Chawla S, Vivek K, Anupama C. A Comparison of the Effects of Injecting Paracetamol and Transdermal Diclofenac Patch as Analgesics After Cesarean Birth. J Obstet Gynaecol 2023; 1 (1):6-8.

DOI: 10.5005/jogyp-11012-0010

License: CC BY-NC 4.0

Published Online: 09-05-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Introduction: Pain is an inevitable outcome of any surgery and control of postoperative pain is very important to improve patient comfort and reduce morbidity. The present study aims to compare the degree of postoperative pain relief using inj paracetamol and transdermal diclofenac patch after cesarean delivery. Materials and methods: A randomized controlled trial was done involving 200 women (100 women were involved in the transdermal diclofenac patch group and 100 women in the inj paracetamol group) to compare the efficacy of each drug as analgesia following cesarean delivery. Results: Both the statistical and clinical observations among the 200 patients showed that 100 mg diclofenac sodium administered transdermally as a patch has equal efficacy as compared with 1000 mg of paracetamol infusion given every 8 hours. Conclusion: Diclofenac patch and injection paracetamol as infusion have similar efficacy in providing postoperative pain relief for 24 hours after the cesarean delivery.

PDF Share
  1. Carvalho B, Butwick AJ. Post cesarean delivery analgesia. Best Pract Res Clin Anaesthesiol 2017;31(1):69–79. DOI: 10.1016/j.bpa.2017.01.003.
  2. Sutton CD, Carvalho B. Optimal pain management after cesarean delivery. Anesthesiol Clin 2017;35(1):107–124. DOI: 10.1016/j.anclin.2016.09.010.
  3. Eisenach JC, Pan PH, Smiley R, et al. Severity of acute pain after childbirth, but not type of delivery, predicts persistent pain and postpartum depression. Pain 2008;140(1):87–94. DOI: 10.1016/j.pain.2008.07.011.
  4. Eslamian L, Jalili Z, Jamal A, et al. Transversus abdominis plane block reduces postoperative pain intensity and analgesic consumption in elective caesarean delivery under general anesthesia. J Anesth 2012;26(3):334–338. DOI: 10.1007/s00540-012-1336-3.
  5. Valentine AR, Carvalho B, Lazo TA, et al. Scheduled acetaminophen with as-needed opioids compared to as needed acetaminophen plus opioids for post-cesarean pain management. Int J Obstet Anesth 2015;24(3):210–216. DOI: 10.1016/j.ijoa.2015.03.006.
  6. Narzaree P, Griwan MS, Singh J. Efficacy and safety of transdermal diclofenac patch versus intramuscular diclofenac injections in postoperative patients of inguinal hernia. Int J Basic Clin Pharmacol 2016;5:447–452. DOI: 10.18203/2319-2003.ijbcp20160760.
  7. Kumar V, Gupta S, Verma R. Evaluation of the role of transdermal diclofenac patch (nupatch) in management of pain in postperative patients. International Journal of Contemporary Medical Research 2017;4(2):493–496.
  8. Banjare M, Kabir KK, Agarwal A, et al. To evaluate efficacy and safety of diclofenac transdermal patch with intramuscular diclofenac injection as preemptive analgesia in post operative patients undergoing inguinal hernioplasty. Indian J Clin Anaesth 2020;7(1):99–103. DOI: 10.18231/j.ijca.2020.018.
  9. Bhargava GS, Bansal D, Sidhu AS, et al. Diclofenac patch: A better alternative to injectable diclofenac in postoperative pain management. Int Surg J. 2015;2:623–628. DOI: 10.18203/2349–2902.isj20151091.
  10. Selvi UPG, Kamatchi D, Babu C, et al. Comparison of transdermal diclofenac patch with intramuscular diclofenac injection as an analgesic modality following surgical extraction of impacted mandibular third molars: a cross over efficacy trail. Int J Sci Stud 2016;4(5):117–123. DOI: 10.17354/ijss/2016/442.
  11. Alessandri F, Lijoi D, Mistrangelo E. Topical diclofenac patch for postoperative wound pain in laparoscopic gynaecologic surgery: a randomized study. J Minim Invasive Gynecol 2006;13(3):195–200. DOI: 10.1016/j.jmig.2006.02.001.
  12. Nataraj K. Efficacy of a single dose of a transdermal diclofenac patch as pre-emptive postoperative analgesia: a comparison with intramuscular diclofenac. S Afr J Anaesth Analg 2012;18(4):194–197. DOI: 10.1080/22201173.2012.10872852.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.