الفهرس 
Caesarean SectionOnly 14 pages are availabe for public view
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Abstract
Background; Cesarean delivery is a commonly performed procedure worldwide. Despite improvements in balanced multimodal analgesia, there remain a proportion of women for whom postoperative pain relief and patient satisfaction are still inadequate. Intraperitoneal instillation of local anesthetic has been shown to be effective in reducing postoperative pain after abdominal surgery, Aim and objectives: to investigate the effect of intraperitoneal instillation of lidocaine on post-cesarean delivery pain, Patients and methods; This study was a Prospective, Randomized, Double blinded, Placebo-controlled Clinical trial, was carried out at Ain shams university hospital Obstetrics and Gynecology department, on (200) women divided into:2 groups: (group I) (Lidocaine group): comprised 100 women who received20ml of 2% lidocaine with epinephrine (1:200,000, (group II) (Placebo group) which is the (Control group): comprised 100 women who received 20ml normal saline, during the time period from 1st of August 2021to the end of April2022 , Result; The pain scores are significantly lower in the Lidocaine group at 4 hours (mean difference = 14.8, 95% CI = 13.0 to 16.6, P-value <0.0001), 6 hours (mean difference = 17.6, 95% CI = 15.7 to 19.5, P-value <0.0001), and 12 hours (mean difference = 18.8, 95% CI = 17.2 to 20.4, P-value <0.0001), Conclusion; The intraperitoneal lidocaine instillation significantly reduced postoperative pain and analgesic consumption in women who underwent elective cesarean section, compared with control group.