Comparison of Morphine and Piroxicam in Decreasing Post Cesarean Pain

Cesarean is one of the most prevalent and increasing surgical procedure. Regarding the importance of mother`s care during the first hours after delivery for communicating with neonate and starting breast feeding, it has great importance to decrease post cesarean pain. This was a double blind randomized clinical trial. The studied population included 53 mothers reffered for elective cesarean section. All of them had first pregnancy and had not history of surgery. The subjects were divided in two randomized groups. For decreasing pain following cesarean morphine was adminstrated to one group (25 cases) and piroxicam to other group (28 cases) intravenously. Data was registered in a check list and was analyzed by χ2 test. Seventeen patients had severe pain, 35.8% had intermediate pain and 47.2% had slight pain following cesarean. There was no significant difference between morphine and piroxicam for decreasing post-cesarean pain. The patients in morphine group had more dizziness and confusion. There was also a significant association between the used drug and sleep state. The patients in piroxicam group had better sleep during first 24 hours after cesarean. Regarding our study, it seems that piroxicam and other nonsteroidal antiinflammatory drugs can control post cesarean pain with lesser complications. So, they can be a good substitute of morphine.