Dexamethasone for Post-cesarean Delivery Pain

Summary

The purpose of this study is to compare post-cesarean section consumption of pain medication between two groups of patients undergoing scheduled cesarean section at term gestation who receive a single-dose of intraoperative steroid (dexamethasone 8 milligrams) versus placebo at 24 hours after surgery. The hypothesis is that a single perioperative dose of dexamethasone 8 mg will significantly reduce postoperative opioid consumption at 24 h in women having cesarean delivery under spinal anesthesia.

Timeline

Start

2012-12

Primary completion

2016-05-27

Completion

2016-09-21

Outcome

Missed primary endpoint

registry analysis (superiority test); Dexamethasone vs Placebo; p = 0.740; Wilcoxon (Mann-Whitney) NCT01812057 ↗

Publications

• Griffiths JD, Gyte GM, Popham PA, Williams K, Paranjothy S, Broughton HK, Brown HC, Thomas J. Interventions for preventing nausea and vomiting in women undergoing regional anaesthesia for caesarean section. Cochrane Database Syst Rev. 2021 May 18;5(5):CD007579. doi: 10.1002/14651858.CD007579.pub3.

Drugs

Indications