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BACKGROUND: Perineal pain from tear or episiotomy is a common problem after vaginal delivery. Episiotomy is a surgical procedure that involves incision of the perineum in the second stage of labour in order to facilitate vaginal delivery. The provision of safe and effective pain relief for perineal trauma using rectal analgesia is one of several therapies used in clinical practice, which also include oral analgesics, local anaesthetics, therapeutic ultrasound and non-pharmacological applications such as baths and ice packs. OBJECTIVES: The study was performed to compare the efficacy of rectal and oral diclofenac following the repair of episiotomy. METHODOLOGY This was a prospective randomized controlled study that was carried out among eligible parturients that had spontaneous vaginal delivery and episiorrhaphy at the Federal Medical Centre, Lokoja, Kogi State between July 2020 and April 2021. A total number of one hundred and seventy four consecutive parturient (eighty-seven in each arm) were randomized to either 100mg oral or 100mg rectal diclofenac 12hourly for 24 hours after perineal repair. A ten-point numeric rating pain scale (NRPS) for pain was recorded at zero, one, four, eight, sixteen and twenty-four hours. Primary outcome measures were pain scores and the time interval between the first dose of both rectal or oral diclofenac and patient’s first demand for additional analgesia while the side effect was the secondary outcome measure. The data generated was analyzed using the Statistical Package for Social Science (SPSS) software for windows (version 23.0, SPSS Inc., Chicago, Illinois, USA) The data was presented descriptively and test for significance was done using the student t-test for continuous variables and chi square for categorical variables.