Clinical Edge

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IV Acetaminophen for Post-Cesarean Pain Control

Am J Obstet Gynecol; ePub 2017 Apr 25; Altenau, et al

The need for oral narcotic consumption for pain control in the post-operative period following cesarean delivery was significantly decreased after intravenous (IV) acetaminophen administration, a recent study found. The double-blind, placebo-controlled randomized trial included 133 patients who were given all medications in a standardized manner. They received either acetaminophen 1,000 mg IV or 100 ml saline (placebo) every 8 hours for 48 hours for a total of 6 doses. Researchers found:

  • 104 patients completed the study: 57 received IV acetaminophen and 47 received placebo.
  • The total amount of oral narcotic medications consumed by patients receiving IV acetaminophen was significantly reduced when compared to the placebo group.
  • There was no difference in pain scores between the groups before and after study dose administration or in narcotic side effects.

Citation:

Altenau B, Crisp CC, Devaiah CG, Lambers DS. Randomized controlled trial of intravenous acetaminophen for post-cesarean delivery pain control. [Published online ahead of print April 25, 2017]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2017.04.030.