Which postoperative medication is recommended for pain control after OASIS?

The recommended choice for postoperative pain control after an obstetric anal sphincter injury (OASIS) includes the combination of NSAIDs (nonsteroidal anti-inflammatory drugs) and acetaminophen. This combination offers a multimodal approach to pain management, which has been shown to be effective in reducing the need for opiates and improving overall pain control.

NSAIDs help to decrease inflammation and alleviate pain, while acetaminophen contributes to pain relief without the gastrointestinal side effects that can sometimes accompany NSAIDs. This combination also addresses both somatic and central pain pathways, leading to better overall pain management.

Effective pain control is crucial in the postoperative period, particularly after OASIS, as it can enhance recovery, reduce stress, and facilitate early mobilization, which can positively impact healing. This strategy is widely supported in clinical guidelines, as it prioritizes both safety and efficacy in managing postoperative discomfort.

Other options do not provide the optimal approach for pain management after OASIS. Codeine is an opioid that may not be as effective as the multimodal approach. Stool softeners, while important for preventing constipation, do not address pain control directly. Antibiotics are essential for infection prevention following surgical procedures but do not contribute to pain relief.