Evidence map›Paper›PMID 24970971›Full record

ArticleNigerian medical journal : journal of the Nigeria Medical Association2014

Intravenous paracetamol versus intramuscular pethidine in relief of labour pain in primigravid women.

Mohammad-Hasan Abdollahi, Mahdiye Mojibian, Alireza Pishgahi, Fatemeh Mallah, Shahla Dareshiri, Sahar Mohammadi, Mohammad Naghavi-Behzad

Open access · diamondAbstract read
In one paragraph

Article in Nigerian medical journal : journal of the Nigeria Medical Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Parenteral opioids for maternal pain management in labour.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Trial
  3. Trial
  4. Pethidine in Low Doses versus Dipyrone for Pain Relief in Labor: A Randomized Controlled Trial.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2019
    Trial
  5. Article
  6. Article
  7. Comments on: Is Pethidine Safe during Labor? Systematic Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018
    Article
  8. Article
  9. Efficacy of Intravenous Infusion of Acetaminophen for Intrapartum Analgesia.Journal of clinical and diagnostic research : JCDR · 2016
    Article
  10. Article
  11. Medical treatment of allergy in children with recurrent or chronic sinusitis.Nigerian medical journal : journal of the Nigeria Medical Association · 2014
    Article
  12. Effects of high versus low-dose atorvastatin on high sensitive C-reactive protein in acute coronary syndrome.Nigerian medical journal : journal of the Nigeria Medical Association · 2014
    Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Mohammad-Hasan AbdollahiDepartment of Anesthesia, Shahid Sadoghi University of Medical Science, Yazd, Iran.
Mahdiye MojibianDepartment of Gynecology and Obstetrics, Shahid Sadoghi University of Medical Science, Yazd, Iran.
Alireza PishgahiDepartment of Physical Medicine and Rehabilitation Research Center, Tabriz University of Medical Science, Tabriz, Iran.
Fatemeh MallahDepartment of Gynecology and Obstetrics, Tabriz University of Medical Science, Tabriz, Iran.
Shahla DareshiriDepartment of Psychiatry, Tabriz University of Medical Science, Tabriz, Iran.
Sahar MohammadiDepartment of Students' Research Committee, Tabriz University of Medical Science, Tabriz, Iran.
Mohammad Naghavi-BehzadDepartment of Students' Research Committee, Tabriz University of Medical Science, Tabriz, Iran ; Department of Medical Philosophy and History Research Center, Tabriz University of Medical Science, Tabriz, Iran.
University of Tabriz · IRShahid Sadoughi University of Medical Sciences and Health Services · IRTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntramuscular pethidine is one of most common opioids used for labour analgesia. There are a number of concerns in the literature regarding the use of pethidine. The aim of this study is to compare analgesic efficacy of paracetamol with pethidine for labour pain in normal vaginal delivery. MATERIALS AND

methodsIn this single-blinded, randomised control trial, 80 primigravid singleton women with full-term pregnancy candidate for normal vaginal delivery, were entered the trial and divided in to pethidine (A) and paracetamol (B) groups. At the time of admission, age and body mass index of mother and gestational age based on last day of period were recorded. In both groups, intravenous promethazine and hyoscine were administered to each patient at the first stage of delivery. From beginning of active phase of delivery, patients in group A received 50 mg intramuscular pethidine injection. At the same time patients in group B, received an intravenous solution infusion containing 1000 mg paracetamol and 300 cc of normal saline. After child birth, average labour pain was assessed using Visual Analogue Scale (VAS) by direct questioning from patient in both groups.

resultsAfter patients' selection, 19 individual omitted during study due to exclusion criteria and finally 30 patients in paracetamol group and 31 patients in pethidine group remained to enter the trial. There was no significant difference in age and BMI of mothers between both groups (P > 0.05). Maternal age and labour duration in paracetamol group had no meaningful difference with maternal age and labour duration of patients in pethidine group (P > 0.05). The average VAS pain score was significantly lower in paracetamol comparing to that of pethidine group (8.366 out of 10, 9.612 out of 10, respectively, P < 0.001).

conclusionIt is concluded that intravenous paracetamol is more effective than intramuscular pethidine to relief labour pain in normal vaginal delivery.

Indexed as

intramuscular pethidineintravenous paracetamolLabour painvaginal delivery

Identifiers

PMID24970971
PMCPMC4071664
OpenAlexW1988729229

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.