In this study, 70 pregnant women, ASA I, II, candidate for Repeat II elective Caesarean Section, are randomized into two equal groups. Cesarian section is performed by spinal anesthesia with 60mg Lidocaine 5% .The control group receives 25 mg meperidine plus 6 ml intravenous normal saline15 minutes before the end of surgery.The intervention group receives 25 mg meperidine and 6 ml (1 gram) intravenous Paracetamol 15 minutes before the end of surgery. Then control group receives 6 ml intravenous normal saline and intervention group 6 ml (1 gram) intravenous Paracetamol every 6 hours in 6,12,18 hours. At any time if the patient's pain score greater than 4 based on visual criteria, meperidine 25 mg IV is injected. Time of first dose and the total amount of meperidine administered within 24 hours is recorded. Side effects including nausea, vomiting, itching, respiratory depression , dizziness and headaches are recorded.