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COMPARISON OF RECTAL DICLOFENAC SODIUM VERSUS INTRAMUSCULAR TRAMADOL FOR PAIN RELIEF IN MANUAL VACUUM ASPIRATION

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dc.contributor.author Qurrat-ul-Ain
dc.contributor.author Tabassum, Arfa
dc.contributor.author Hamid, Shumaila
dc.contributor.author Saeed, Naveera
dc.date.accessioned 2022-10-18T10:37:10Z
dc.date.available 2022-10-18T10:37:10Z
dc.date.issued 2018-12-15
dc.identifier.citation ul Ain, Q., Tabassum, A., Hamid, S., & Saeed, N. (2018). COMPARISON OF RECTAL DICLOFENAC SODIUM VERSUS INTRAMUSCULAR TRAMADOL FOR PAIN RELIEF IN MANUAL VACUUM ASPIRATION. Pakistan Journal of Physiology, 14(4), 28-31. en_US
dc.identifier.issn 1819-270X
dc.identifier.uri http://142.54.178.187:9060/xmlui/handle/123456789/13212
dc.description.abstract Manual Vacuum Aspiration using paracervical block is commonly employed for management of first trimester miscarriage. Opioids like tramadol and non-steroidal anti-inflammatory drugs like diclofenac are employed in addition to paracervical block for analgesia. This study was conducted to compare efficacy of rectal diclofenac sodium versus intramuscular tramadol for pain relief in Manual Vacuum Aspiration. Method: This randomized controlled trial was conducted at Mother and Child Health Centre, Pakistan Institute of Medical Sciences, Islamabad from 21 January to 20 July 2017. A sample size of 114 was calculated, 57 in each group. In Group A, patients received injection tramadol 100 mg intramuscularly 20 minutes before Manual Vacuum Aspiration. In Group B patients received diclofenac suppository 100 mg rectally 60 minutes before procedure. Within three minutes of completion of procedure patients were asked to rate their pain scores on Visual Analogue Scale. Results: Both groups were comparable in terms of age, parity and gestational age. The mean pain score of Group A (intramuscular tramadol) was 5.05±0.72 whereas that for Group B (diclofenac suppository) was 2.88±0.85 (p<0.001). Frequency of patients for group A in mild, moderate and sever pain categories was 13 (22.8%), 41 (71.9%) and 2 (5.3%) respectively, whereas for group B it was 52 (91.2%), 5 (8.8%) and zero respectively. The difference in frequency was significant (p<0.001). Conclusion: Rectal diclofenac leads to better pain relief as compared to intramuscular tramadol in Manual Vacuum Aspiration. en_US
dc.language.iso en en_US
dc.publisher Ayub Medical College, Abbottabad. en_US
dc.subject Manual Vacuum Aspiration en_US
dc.subject Tramadol en_US
dc.subject Diclofenac en_US
dc.subject Rectal Suppository en_US
dc.title COMPARISON OF RECTAL DICLOFENAC SODIUM VERSUS INTRAMUSCULAR TRAMADOL FOR PAIN RELIEF IN MANUAL VACUUM ASPIRATION en_US
dc.type Article en_US


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