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Lidocaine spray doesn't reduce perineal pain
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     The local anaesthetic lidocaine doesn't reduce perineal pain during spontaneous vaginal delivery. Sanders and colleagues (p 117) randomised 185 women who had a spontaneous vaginal delivery without epidural analgesia to topically applied local lidocaine spray or placebo spray. They assessed self reported pain during delivery on a scale of 0 to 100 (0 = no pain, 100 = worst possible pain) and found slightly worse results for the lidocaine group (77 v 72). They also found, however, that lidocaine may reduce genital trauma and was acceptable to both the women and midwives.

    Related Article

    Effectiveness and acceptability of lidocaine spray in reducing perineal pain during spontaneous vaginal delivery: randomised controlled trial

    Julia Sanders, Rona Campbell, and Tim J Peters

    BMJ 2006 333: 117.(Julia Sanders, Rona Campb)