Effectiveness and acceptability of lidocaine spray in reducing perineal pain during spontaneous vaginal delivery: randomised controlled trial

Sanders, Julia; Peters, Tim J.; Campbell, Rona
July 2006
BMJ: British Medical Journal (International Edition);7/15/2006, Vol. 333 Issue 7559, p117
Academic Journal
Objectives: To evaluate the effectiveness and acceptability of a lidocaine spray in reducing perineal pain during spontaneous vaginal delivery. Design: Randomised controlled trial. Setting: Consultant led obstetric unit. Participants: 185 women who had a spontaneous vaginal delivery without epidural analgesia. Interventions: Topically applied local anaesthetic spray (93 women) and placebo spray (92 women). Main outcome measure: Primary outcome measure was pain during delivery (0-100 scale). The 16 secondary outcome measures included second degree perineal trauma during delivery, trauma of the genital tract and dyspareunia by two months. Results: Lidocaine spray did not reduce pain during spontaneous vaginal delivery: mean 77 and 72 on a scale of 0-100 in the lidocaine and placebo groups respectively.


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