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    Effectiveness of cooling gel pads and ice packs on perineal pain

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    Authors
    Navviba, Shahin
    Abedian, Zahra
    Steen, Mary
    Affiliation
    Zahedan University of Medical Science Nursing & Midwifery, Mashhad Iran ; Faculty of Health & Social Care, University of Chester
    Publication Date
    2009-11-01
    
    Metadata
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    Abstract
    The purpose of this paper is to report the findings of a randomised controlled trial undertaken at the Hazrat Ommolbanin University Maternity Hospital in Mashhad, Iran which investigated the effectiveness of localised cooling treatments to alleviate perineal trauma. From October 2005 to February 2006, 121 primiparous women who were at term and had an episiotomy were randomly recruited to one of three treatment groups (Group 1 - no localised cooling, Group 2 - Ice pack, Group 3 - cooling gel pad). The intensity of pain, wound healing and women’s satisfaction levels were the main outcomes measured. The intensity of pain was measured by a (Numeric Rating Scale (NRS) (0-10) and wound healing was evaluated by the REEDA scale within 4 hours of episiotomy repair, at Day 1, Day 2, Day 5 and finally at Day 10. The usage of oral analgesia (acetaminophen) was measured at Day 10. Women’s satisfaction levels with oral analgesia and localised cooling treatments were also assessed at Day 10 by a NRS (0-10). There was evidence that localised cooling treatments are effective at alleviating perineal pain which was in favour of the cooling gel pad group. A statistical significant difference was reported at 4 hours (p=0.003) Day 2 (p=0.004) and at Day 10 (p=0.044). At Day 1 and Day 5 there was evidence of a reduction in the intensity of pain but this did not reach a statistical significant difference. A reduction in the usage of oral analgesia (acetaminophen) was reported in favour of the cooling gel pad group (p<0.001). Women’s satisfaction levels with oral analgesia were similar within the three treatment groups but a higher level of satisfaction when assessing localised treatment was reported by the cooling gel pad group (p<0.001). Wound healing rates were also reported to be better in the cooling gel pad group when compared to the other two groups(p<0.001). In conclusion, treatments to alleviate perineal pain without any adverse affects on wound healing and women’s views are important aspects of midwifery care. This trial has demonstrated evidence that localised cooling of the perineum reduces the intensity of pain, women were more satisfied when applying cooling gel pads and this treatment appeared to assist in wound healing.
    Citation
    British Journal of Midwifery, 17(11), pp. 724-729
    Publisher
    Mark Allen
    Journal
    British Journal of Midwifery
    URI
    http://hdl.handle.net/10034/88513
    Additional Links
    http://www.britishjournalofmidwifery.com/cgi-bin/go.pl/library/article.html?uid=45030;article=BJM_17_11_724_729
    http://www.britishjournalofmidwifery.com
    Type
    Article
    Language
    en
    Description
    This article is not available through ChesterRep.
    ISSN
    0969-4900
    Collections
    Health and Social Care

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