and the Islamic nation on the occasion of Eid Al-Adha, may God bring it back to us and you with goodness, Yemen and blessings
Advancing
Prof. Samah Mohammad Abdullah, Dean of the Faculty
With the most heartfelt congratulations to the family of the faculty in general, the graduate student and research sector in particular, and the family of the scientific journal in the faculty
Hearty congratulations to the faculty’s scientific journal at the first level, according to what the Supreme Council of Universities announced regarding the evaluation of Egyptian and local journals.
And special thanks to Prof. Hala Ramzy, Vice Dean for Postgraduate Studies and Research
And Mr. Ahmed Fathi Farraj, Administrative Secretary of the magazine, for his diligent and distinguished work
And all those who work in the scientific journal
Assuming the position of Head of the Critical and Emergency Nursing Department
Dean of the faculty
Sincerely thanks
Dr. Mona Ali Mohamed
For her hard work and dedication
While chairing the Board of Critical and Emergency Nursing Department
We wish everyone success and payment
Objective: The current study aims to compare the analgesic effect of lidocaine-prilocaine (LP) cream with lidocaine infiltration during repair of perineal tears after vaginal delivery.
Materials and methods: A single center open-labeled randomized clinical trial was carried out in a tertiary University Hospital between October 2016 and May 2017 (Clinical Trials.Gov: NCT02883179). We included parous women, who delivered at gestational age >37 weeks with first- or second-degree perineal tears. The participants were randomized in a 1:1 ratio to either lidocaine infiltration (Group I); or application of LP cream (Group II) for pain relief during perineal repair. The primary outcome was the difference in mean pain score during perineal repair. Secondary outcomes included the participants’ satisfaction, the need for additional anesthesia, the duration of perineal repair, and the rate of adverse effects of both medications.
Results: The study included 144 participants randomized to both groups. The mean pain score during perineal repair was significantly lower in the LP cream group (3.86 ± 1.59) than the lidocaine infiltration group (5.99 ± 1.47) [p = .001]. The duration of repair was significantly shorter in the LP group than the lidocaine infiltration group (6.37 ± 3.68 versus 8.17 ± 2.75 min, respectively, p = .001). The need for additional anesthesia was quite similar in both groups (p = .371). More women in the LP cream group were satisfied than the other group with statistical significant difference (76.4 versus 30.6%, p = .000). No difference between side effects in both groups (p = .171)
Conclusions: Topical application of lidocaine-prilocaine cream is an effective analgesic during repair of perineal tears with no harmful side effects.
