How effective is a single administration of paracetamol for the relief of acute postpartum perineal pain?
The studies were quite old (mainly 1970s and 1980s) and not of high quality. There were no empirical data to evaluate the effect of paracetamol versus placebo on outcomes which might affect a mother’s ability to care for her baby (maternal sedation, psychological impact, prolonged hospitalisation, breastfeeding, postpartum depression) or neonatal outcomes.
Perineal pain is a common but poorly studied adverse outcome following childbirth. Pain may result from perineal trauma due to bruising, spontaneous tears, episiotomies, or in association with ventouse or forceps assisted births.