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Objective: Assessment of the analgesic effectiveness of acetaminofen and ibuprofen in cases of epsiotomy, within the first 42 hours pospartum. Methods: Quasi-experimental research (prospective,singel-blind trial) on women who gave birth at the HUCA (Oviedo), excluding those who suffered from allergies or associated pathologies and the ones whose language skills in Spanish led to misunderstanding. Two groups: 1) Acetaminofen 1 gr; 2) Ibuprofen 600mg. Sample size: 110 per group to amount to a minimum of 80. Main variable: The degree of pain, which was marked on a rating scale (0 to 3). Other variables: The age of the patient, gestational age, neonatal weight, parity, onset of labour, epidural anesthesia, type of delivery, inflammation and reddening, tears, hematoma or hemorrhoids, need for catheter evacuation, application of ice and request for analgesia. Final sample size: 88 group acetaminofen and 97 group ibuprofen. Pain levels were measured through the scale 2 hours after delivery (previous to the treatment), afterwards, every 8 within the first 42 hours postpartum. A descriptive research was carried out and there was a comparison drawn between both groups. Results: The pain scale did not reveal any significant difference between both drugs. The result was the same in the analized subgroups; except for that of eutocic deliveries, where ibuprofen was superior to acetaminofen. The overall series results show that the request for ice and additional medication was more frequent among group acetaminofen. RECIEN No 3 Noviembre 2011 Pag. 3 Recien Revista Cientifica de Enfermeria Conclusions: Ibuprofen 600 mg and acetaminofen 1gr get a similar response within the first 42 hours after delivery, even though ibuprofen seems to have some extra advantages.

Paracetamol vs ibuprofeno para el dolor de la episiotomía en las 42 horas postparto