| Title | [The treatment of post partum pain: survey of 26 maternity departments in Israel] | | Author(s) | Solt I, Melcer A, Yehieli I, Ophir E, Bornstein J | | Institution | Maternity Department, Western GaLilee Hospital Naharia, Israel Faculty of Medicine, Technion, Haifa, Israel. Ido.Solt@naharia.health.gov.il | | Source | Harefuah 2009 Jul; 148(7):427-431, 477, 476. | | Abstract | BACKGROUND: The majority of post-partum women suffer from pain after vaginal delivery, more so after cesarean section. In most cases, pain management is needed during the post-partum hospitalization period. In Israel there is no national protocol of post-partum pain management. GOALS: Presentation of the current status of post-partum pain management used in Israeli hospital maternity departments as a basis for a national protocol of postpartum pain management.
METHODS: During the months of July and August 2008, Israeli maternity departments were surveyed by telephone interviews regarding their pain management protocols for post-vaginal deliveries and caesarean sections for both breastfeeding and non-breastfeeding mothers.
RESULTS: Treatment protocols were received from 26 maternity departments. All use paracetamol per-os alone or combined with another drug. Dipyrone is used in 22/26 departments, despite the fact that this medication is not approved for use during Lactation. In 15/26 departments, dictofenac is used mostly after caesarean sections. In nine departments, ibuprofen is used post-partum, and tramadol is used in seven. In 20/26 departments surveyed, opioids are used after cesarean section, mostly morphine or pethidine. Methadone is used after caesarean section in two departments.
CONCLUSIONS: Post-partum pain management treatment in Israelis not standardized, especially for Lactating mothers and women after caesarean sections. Lactating mothers should be started on paracetamol or ibuprofen per-os, as first-line postpartum pain management treatment. If this is not effective, second line treatment can be short-term morphine, codeine or propoxyphene. These medications are safer than acetylsalicylic acid, dipyrone or pethidine for lactating mothers. | | Language | heb | | Pub Type(s) | English Abstract
Journal Article
| | PubMed ID | 19848327 |
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