Comparison of Epigastric Pain Between Intravenous Infusion and Intravenous Bolus Administration in C-Section

Abstract

Objective: The purpose of this study is to assess the frequency of epigastric pain following intravenous infusion versus intravenous bolus administration of oxytocin in caesarean section. Study Design: Case control/Prospective Place and Duration: M. Islam Medical College, Gujranwala from 1st January 2018 to 30th June 2018. Methods: A total of 100 patients were enrolled in this research. After obtaining written agreement, detailed demographic information such as the patient's age, BMI, and parity were collected. Those who took part in the study ranged in age from 18 to 45. Patients were separated into two equal groups, designated as I and II, respectively. Group I received an intravenous infusion, while group II received an intravenous bolus of medication. There was a significant difference in the frequency of epigastric pain between the groups. The SPSS 25.0 version was used to examine the entire set of data. Results: In group I mean age was 26.11± 7.64 years and mean BMI was 25.12±3.19 kg/m2 while in group II mean age was 27.07 ±4.37 years with mean BMI 25.01±4.55 kg/m2. Mean diastolic blood pressure was 80.88± 3.55 and 81.34 ±7.78 among both groups. We found that most of the patients were multigravida in both groups 33 (66%) and 34 (68%) while frequency of primigravida in group I was 17 (34%) and in group II was 16 (32%).We found that prevalence of epigastric pain was observed higher 25 (50%) in bolus group II as compared to infusion 14 (28%) group I with p value < 0.05. Conclusion: We found from this study that the frequency of epigastric discomfort was higher in the intravenous bolus group as compared to the infusion of an equivalent dose of oxytocin in the control group. Keywords: Intravenous bolus, Intravenous infusion, Epigastric pain, Pregnancy, C-section