ANALGESIA AFTER CESAREAN-SECTION - THE USE OF RECTAL DICLOFENAC AS ANADJUNCT TO SPINAL MORPHINE

A double-blind placebo-controlled study was performed to assess the an algesic effect of rectal sodium diclofenac 100 mg after Caesarean sect ion using subarachnoid hyperbaric bupivacaine 0.5% and morphine 0.2 mg . During the 48 h follow-up period both placebo and diclofenac groups had comparable analgesia as measured by visual analogue scores (VAS) a t rest and on movement. However, diclofenac prolonged the mean time to first analgesia by more than 5 h from 13 h 45 min in the placebo grou p to 18 h 58 min (p < 0.03). The incidence of side effects (nausea, vo miting, itching, excessive lochia loss and the need for additional ana lgesia) were comparable in each group.