Author/Authors :
Hakimi Sevil نويسنده Department of Reproductive Health, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran Hakimi Sevil , Mirghafourvand Mojgan نويسنده Department of Midwifery, Tabriz University of Medical Sciences, Tabriz , Behnampour Nasser نويسنده Department of Public Health, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran Behnampour Nasser , Abbasalizadeh Fatemeh نويسنده Women’s Reproductive Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran , Ghana Samieh نويسنده MSc in Midwifery, Department of Midwifery, Tabriz
University of Medical Sciences, International Branch Aras, Tabriz,
IR Iran
Abstract :
Background Wound complications and pain are major causes of
morbidity after cesarean section (CS). Although medications are safe for
use by mothers after CS, many females prefer non-pharmaceutical methods.
An abdominal binder is a complementary therapy, commonly used post-major
abdominal surgery. Objectives There is limited evidence about the effect
of abdominal binders. The aim of this study was to investigate the
effects of an abdominal binder on wound healing and consumed pain
medication. Methods This randomized controlled trial included 178
females, who had undergone non-emergency CS at 1 of the 3 hospitals in
Gonbad-e Kavus, and Golestan, northeast of Iran. In the intervention
group, patients were administered abdominal binders, in addition to
routine care. The binder was used for 2 days after the patient was
admitted to the surgery ward. The control group received routine care.
We used the demographic data questionnaire, questionnaire for
cataloguing analgesic medications taken by participants (each 6 hours
after CS), and Redness, Edema, Ecchymosis, Discharge, Approximation of
wound edges (REEDA) scale for assessment of wound healing. The
participants provided their written consent for participation in this
study. Results The mean (SD) age of the participants was 26.3 (5) years.
Mean (SD) REEDA score was 0.4 (0.5) in the intervention group and 0.5
(0.8) in the control group. The median (quartile 25-75) REEDA score was
0 (0-1) in both groups. Mean REEDA scores did not differ significantly
between the 2 groups (P = 0.724). Significant differences were observed
in the approximation of wound edges in the intervention group 5 days
post-CS (P = 0.007). Administered analgesic medications did not differ
significantly between the 2 groups (at 6 hours in suppository, and 6 and
24 hours post-intervention in intramuscular of injection narcotics).
Significantly fewer analgesic medications were administered in the
intervention group when compared with the control group (P = 0.001).
Satisfaction did not differ significantly between the 2 groups (P=
0.443). Conclusions In this study, the abdominal binder was effective in
pain medication consumption at some intervals. However, it had no
healing effect on CS scars.
