Obstetric anesthesia

Outpatient Treatment With Gabapentin in Women With Severe Acute Pain After Cesarean Delivery Is Ineffective: A Randomized, Double-Blind, Placebo-Controlled Trial

Anesth AnalgPublished Randomised controlled trial

Primary resultResult — go to the resultHazard ratio 1.1 95% CI 0.67–1.8

Authors' conclusion

Outpatient supplementation with gabapentin did not reduce time to opioid cessation, pain, anxiety, depression, fatigue, or improve physical function in women with severe pain after cesarean delivery.

Study context

Population
Women with at least 2 reports of severe pain after cesarean delivery resistant to standard multimodal pain management
Participants
35 vs 35
Comparison
Outpatient gabapentin vs placebo
  • Gabapentinn = 35
  • Placebon = 35reference
Primary endpoint
Time to opioid cessation
Methodological detailsprospective, double-blind, placebo-controlled
  • Prospective
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

Hazard ratio

1.1

95% CI 0.67–1.8

P = 0.65

By group

Gabapentin vs Placebo
HR 1.1 (95% CI 0.67–1.8); P = 0.65

Secondary outcomes

Time to pain resolution, to discontinuation of gabapentin, acetaminophen and ibuprofen, to self-reported recovery; PROMIS anxiety, depression, fatigue, physical function

No differences in any secondary end points between groups

Original publication

Outpatient Treatment With Gabapentin in Women With Severe Acute Pain After Cesarean Delivery Is Ineffective: A Randomized, Double-Blind, Placebo-Controlled Trial. Anesth Analg. Published 12 April 2023. doi:10.1213/ane.0000000000006429

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