Clinical evaluation the effect of Xylapi ointment and lidocaine spray on the patient's satisfaction, stress, cooperation and pain level in spinal anesthesia for cesarean section and comparing it with the control group

Raise awareness about reducing pain and increasing maternal satisfaction when using Xylapi ointment compared to Lidocaine spray in Cesarean Section of pregnant mothers.

A parallel-group, single-blind, randomized controlled clinical trial involving 258 patients. They are placed in 3 groups in the form of block randomization and quadruple block.

This study will be conducted in Bharlo hospital in order to compare the level of cooperation, satisfaction, pain and anxiety of pregnant mothers over 37 weeks and candidates for caesarean section. In this study, one-way blinding was done for the patients and the patients were placed in three groups of 86 people, in the intervention group 1 of 10 grams of Xylapi ointment at the needle entry site and in the intervention group 2 of 3 puffs of 10% lidocaine spray at the entry site. A needle is used to create anesthesia, and in the control group, 3 puffs of distilled water are used, and the results will be compared between the 3 groups based on the visual pain scale and scoring by the anesthesiologist with the cooperation of the mothers.

Entry criteria: Pregnant women with a gestational age of over 37 weeks who are candidates for elective cesarean section. Exclusion criteria: gestational age below 37 weeks ؛ candidates for emergency cesarean section ؛ chronic diseases of blood pressure and diabetes ؛ allergy to lidocaine ؛ addiction ؛ contraindications for spinal anesthesia.

In intervention group 1, 10 grams of Xylapi ointment is used at the needle entry site, and in intervention group 2, 3 puffs of 10% lidocaine spray are used at the needle entry site to create anesthesia. 3 puffs of distilled water are also used in the control group.

Mother's Pain ؛ Satisfaction ؛ Anxiety ؛ Cooperation

We divide the patients into 3 groups by block randomization and quadruple block, totaling 86 people, which include 258 people and have a gestational age of more than 37 weeks. In the intervention group 1, which consists of 86 people, 10 grams of Xylapi ointment is used in a cross-sectional area of 10 square centimeters (according to the anesthesiologist's opinion) 20 to 30 minutes before the spinal injection in the place where the needle is inserted to create anesthesia. In the intervention group 2 as well 3 puffs of 10% lidocaine spray are used at the needle insertion site 5-10 minutes before the spinal. In the control group, 3 puffs of distilled water are used 10 minutes before the spinal.

In this study, the subjects are aware that a new method is being studied and researched, but they are blinded to which group they belong to and which drug is being studied on them.

This study aims to compare the effect of Xylapi ointment with lidocaine spray on reducing pain and anxiety during spinal surgery for cesarean section, and after collecting all the information related to the topics under study, it will be given to the researchers.

After completing the data collection and writing the thesis in 1403

Specialists in obstetrics and gynecology and anesthesia

Persons who have access to the information by writing a letter to the research unit of Tehran University of Medical Sciences and the holder of the code of ethics and the IRCT code by referring to the research assistant of Baharlu Hospital.

Research Unit of Tehran University of Medical Sciences, Research Vice-Chancellor of Baharlu Hospital

Writing a letter with the research unit of Tehran University of Medical Sciences and receiving the code of ethics and referring to the research unit of Baharlo Hospital and receiving information