International Journal of Women's Health and Reproduction Sciences

Home Aim and Scope Instructions to Authors Editorial Policies Editorial Board Authorship Agreement Form Open Access and Copyright

Jan 2018, Vol 6, Issue 1

CURRENT ISSUE ARCHIVE AHEAD OF PRINT / ACCEPTED ARTICLE MOST VIEWED ARTICLES NEWS RELATED LINKS

Advanced Search

For Author's & Reviewer's

Committee on Publication
Ethics (COPE) Flowchart

Recommendations for the Conduct

COPE: Reviewers

World Association of Medical Editors(WAME)

EQUATOR Resources : Reviewers

Poll

How do you find the scientific quality of the published articles on our web site?

Very good

Good

Fair

Bad

Very bad

Original Article
Nitrous Oxide Versus Lidocaine for Pain Relief During Episiotomy Repair: A Randomized Trial
Nahid Javadifar¹, Azam Honarmandpour², Zahra Abbaspoor¹, Amal Saki Malehi³
¹Reproductive Health Promotion Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran ²Department of Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar , Iran ³Department of Biostatistics and Epidemiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
IJWHR 2018; 6: 036-040 DOI: 10.15296/ijwhr.2018.07 Viewed : 3433 times Downloaded : 6321 times. Keywords : Nitrous oxide, Episiotomy, Lidocaine, Pain
Full Text(PDF) \| Related Articles
Abstract

Objectives: Since pain management is an important concern in childbirth. This study was designed to evaluate the effects of nitrous oxide in comparison with lidocaine in terms of pain relief, during episiotomy repair in primiparous women. Materials and Methods: In this prospective randomized controlled trial, 120 pregnant women were recruited. The intervention group received nitrous oxide 2 minutes before starting episiotomy repair, until the end of the procedure. The control group received 5 mL of lidocaine (2%) before starting the episiotomy. The results of 2 groups were compared with regard to the pain intensity using a visual analog scale (VAS). Mann-Whitney, student?s t test, and chi square test were used to analyze the data. Results: Sixty women were studied in each group. Nine participants (15%) in nitrous oxide group, as opposed to 23 (38.4%) in lidocaine group, had moderate, severe or extremely severe pain (P = 0.005). In terms of satisfaction level, there was no significant difference between 2 groups (P = 0.713). Conclusion: The results of this study showed that pain intensity in the nitrous oxide group was significantly lower than that in the lidocaine infiltration group. Application of nitrous oxide at least 2 minutes before repair may be an effective method for pain management in episiotomy repair.