BMJ 2006;333 (15 July), doi:10.1136/bmj.333.7559.0
Lidocaine spray doesn't reduce perineal pain
The local anaesthetic lidocaine doesn't reduce perineal pain during spontaneous vaginal delivery. Sanders and colleagues (p 117) randomised 185 women who had a spontaneous vaginal delivery without epidural analgesia to topically applied local lidocaine spray or placebo spray. They assessed self reported pain during delivery on a scale of 0 to 100 (0 = no pain, 100 = worst possible pain) and found slightly worse results for the lidocaine group (77 v 72). They also found, however, that lidocaine may reduce genital trauma and was acceptable to both the women and midwives.
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- Effectiveness and acceptability of lidocaine spray in reducing perineal pain during spontaneous vaginal delivery: randomised controlled trial
- Julia Sanders, Rona Campbell, and Tim J Peters
BMJ 2006 333: 117.[Abstract] [Full Text] [PDF]
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