NCT06220279

Brief Summary

Episiotomy is the commonest surgical procedure performed on parturient. It is usually associated with perineal pain which is particularly severe in the first 24 hours post repair. Perineal pain after episiorrhaphy if not adequately managed puts the woman into painful distress thus preventing good immediate post-partum care for the newborn. The aim is to compare the efficacy of single dose rectal diclofenac with oral diclofenac for the relief of perineal pain within 24 hours after episiotomy repair at Alex Ekwueme Federal University Teaching Hospital Abakaliki.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
146

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2021

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2021

Completed
2 years until next milestone

First Submitted

Initial submission to the registry

January 14, 2024

Completed
9 days until next milestone

First Posted

Study publicly available on registry

January 23, 2024

Completed
Last Updated

January 23, 2024

Status Verified

January 1, 2024

Enrollment Period

7 months

First QC Date

January 14, 2024

Last Update Submit

January 14, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Adequate pain relief after drug administration

    Clients satisfaction

    24hours

Study Arms (2)

Arm 1, oral diclofenac

ACTIVE COMPARATOR

Two doses of 50mg oral diclofenac 12 hours apart was administered to this arm

Drug: Diclofenac

Arm 2, rectal diclofenac

ACTIVE COMPARATOR

100mg diclofenac was administered rectally to this arm

Drug: Diclofenac

Interventions

Each were monitored for pain within 24 hours

Arm 1, oral diclofenacArm 2, rectal diclofenac

Eligibility Criteria

Age18 Years - 35 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Uncomplicated pregnancy
  • Gestational age of 37 weeks and above who had episiotomy
  • Singleton gestation
  • Vaginal delivery
  • Instrumental vaginal delivery
  • Consented women

You may not qualify if:

  • Women that declined consent
  • Postpartum hemorrhage.
  • Women who had perineal tear
  • History of peptic ulcer diseases
  • History of bleeding coagulopathies
  • Adverse reaction or hypersensitivity to diclofenac
  • Any woman with special postpartum pain relief plan such as sickle cell disease patient
  • Preeclamptic/eclamptic, renal and liver diseases patients.
  • Parturient on epidural anesthesia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Alex Ekwueme Federal University Teaching Hospital

Abakaliki, Ebonyi State, 480001, Nigeria

Location

Federal Teaching Hospital, Abakaliki

Abakaliki, Ebonyi State, 480001, Nigeria

Location

MeSH Terms

Interventions

Diclofenac

Intervention Hierarchy (Ancestors)

PhenylacetatesAcids, CarbocyclicCarboxylic AcidsOrganic Chemicals

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

January 14, 2024

First Posted

January 23, 2024

Study Start

June 1, 2021

Primary Completion

December 31, 2021

Study Completion

December 31, 2021

Last Updated

January 23, 2024

Record last verified: 2024-01

Data Sharing

IPD Sharing
Will not share

Locations