STUDY TO KNOW THE EFFICACY OF LOCAL BUPIVICANE INFILTRATION ON WOUND IN MANAGING PAIN POSTOPERATIVELY AFTER CAESAREAN SECTION

Objectives: To compare the local infiltration of bupivacaine with placebo in a caesarean section under spinal anesthesia in terms of the purpose of the study, mean pain scores and analgesic requirement. Study schedule: Randomized controlled Place and time of study: Gynecology and Obstetrics Department, Nishter Hospital, Multan. All patients from OPD, Emergency and high risk Ward were accepted from March 2016 to March 2017. Findings: In our study, 86% (n = 43) patients in Group A and 82% (n = 41) 18 (n = 9) were between the ages of 31 and 45 years, with mean ± SD being 26.52 ± 4.54 in Group A and 26.88 + 4.16 in Group. B. The pain score comparison in both groups was calculated as 1.98 + 0.91 in Group-A, 2.8 + 1.23 in Group-B, 0.00026 in p-value and showed a significant difference between these groups. The two groups were also calculated to have a p value of 0.00057 when the analgesic requirement was compared in both groups, 32.00 mg + 51.27 and in Group-B 82.00 mg + 84.97 tramadol, respectively. there is a significant difference between the two groups. Conclusion: Local infiltration of bupivacaine with the wound was significantly more effective than placebo in relieving postoperative pain and resulted in decreased post-cesarean analgesia requirement. Key words: cesarean section, spinal anesthesia, wound infiltration, analgesia requirement.