Acetaminophen and the Pain Management in Cesarean Post-Operatory

Abstract

Effective post-caesarean pain relief is important, once this promotes a better and faster recovery and can diminish the hospital expenses. Paracetamol (acetaminophen) is the most commonly used drug to treat fever or pain, both as an over the counter drug as well as in the hospital setting. Many works demonstrated the efficacy of Paracetamol as analgesic in pregnancy: Paracetamol infusion and the diclofenac intramuscular injection have analgesic efficacy similar to the intravenous pethidine. In a pregnant, 34 years, history of Non-Hodgkin Lymphoma in 5 years remission and with Tail Syndrome Equine manifestations the analgesia was maintained with Paracetamol, magnesium Dipyrone and, intercalary with Paracetamol, tramadol; a case of a nulliparous, 39 weeks, with arteriovenous malformations and whose postoperative analgesia was assured with Paracetamol by intravenous three peridural bolus of ropivacaine and morphine.However, acetaminophen is associated with risks for women and her baby: neurodevelopmental and behavioral disorders; reduced gross motor skills, delay in walking, increased activity, reduced communication skills, and attention-seeking or aggressive behavior; Recent studies also suggest that acetaminophen is a hormone disrupter. Future studies comparing the usage of Paracetamol and other possible combinations are necessary, provided that they have significant statistical samples and standard tools accepted internationally to measure pain levels.