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COMPARISON BETWEEN INTRAVENOUS & INTRATHECAL BETAMETHASONE TO REDUCE THE PAIN AMONG FEMALES AFTER CESAREAN SECTION

Dr Alina Tariq, Dr Hamza Rashid, Dr Nigum Irshad

Objective: Improper relief of the pain after surgery of cesarean section can be the reason of the majority of complications. In this current research work, we assessed the impact of the Intrathecal Betamethasone as an attachment to the bupivacaine on the pain after surgery in the patients who are experiencing Cesarean Section. Methodology: Total 99 females who were undergoing Cesarean Section were the members of one of the 3 groups. Group-1 was the control group who received the IB Group, the patients of the Group-2 obtained IB plus stabilizer free betamethasone & the patients of Group-3 obtained in vein betamethasone with the IB. After the operation, the administration of the diclofenac in the suppository form carried out as requires for analgesia. A blind observer recorded the diclofenac needs after the surgery, time to 1st administration of analgesia and VAS (Visual Analogue Scores) for pain. Results: The requirements of the supplemental dose of analgesic with the diclofenac for 1st twenty-four hours were very less in two groups who obtained the betamethasone in comparison with the group of control. The average duration of after surgery analgesia was 336.80 ± 86.0 minutes in the group of Intrathecal & 312.40 ± 106.0 minutes in the group of intravenous in comparison with the 245.40 ± 93.0 minutes in the group of controls. VAS scores were very less at four hours and 6 hours after the operation in groups who obtained betamethasone as compared to the group of controls. The score of pain at six hours after Cesarean Section were high in intravenous group in comparison with intrathecal group. VAS scores were not different at twelve & twenty-four hours after the Cesarean Section between all groups. Conclusion: Intrathecal Betamethasone decreases the pain and reduced the needed dosage of the diclofenac within twenty-four hours after Cesarean Section. KEY WORDS: Intrathecal Betamethasone, Analgesic, Dosage, Cesarean Section, Diclofenac, Visual Analogue Scores.

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