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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.
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.