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. 2021 Jan 11;2021(1):CD011352. doi: 10.1002/14651858.CD011352.pub3

Hopkinson 1980.

Study characteristics
Methods Multi‐arm RCT – 4 groups
Participants Women with moderate or severe post‐episiotomy pain
Abington Memorial Hospital, Pennsylvania, USA
Women with eclampsia and those who had received analgesic drugs within 12 hours prior to study, were excluded
Interventions Intervention: ibuprofen 400 mg (N = 80); ibuprofen 800 mg (N = 80) and propoxyphene 65 mg (N = 81)
Comparison: placebo (N = 81)
Outcomes
  • Pain intensity

  • Relief of pain

  • Additional analgesia

  • Side effects


Evaluations of pain were recorded at 30 minutes, and hourly thereafter up to 4 hours after treatment administration
Notes Propoxyphene 65 mg was not considered in the review as not a NSAID
Dates of study: NR
Funding sources: NR
Declarations of interest: NR
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No clear statement on methods used
Allocation concealment (selection bias) Unclear risk No clear statement
Blinding of participants and personnel (performance bias)
All outcomes Low risk Double‐blind
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No clear statement
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Appear to be missing data (dropouts or withdrawals) at 2‐, 3‐ and 4‐hour assessments; no clear statement as to reasons in study publication
Selective reporting (reporting bias) High risk Side effects not mentioned/reported; no reason provided
Other bias Low risk There were no statistically significant differences between any of the groups on baseline parameters or characteristics