Effect of Elastic Abdominal Binder on Postpartum Caesarean section Pain

Abstract

Background: Several studies have shown that early ambulation after cesarean section can reduce complications, but the problem was post operative pain. Although, postoperative analgesic drugs play the important role in pain relief but it seems like not enough in some case. So, the additional treatment should be taken. There are many studies found that using an elastic abdominal binder around the hip area to cover the pelvis can reduce pain.
Objectives: To study the correlation of average pain score and amount of analgesic drugs used in post caesarean section women among using and non-using elastic abdominal binder. (24-48 hour after using elastic abdominal binder)
Methods: This study design is comparative prospective study. One hundred and twelve women who delivered by caesarean section, in Phanat Nikhom Hospital, were included in were the non-using group.
Results: The age of total 112 women are between 17 to 42-year-old. The demographic data show no different between two group. The average pain score of post cesarean section women, on the first day show that the study group (4.6± 1.9) is lower than control group (4.9 ± 2.5) but there is no statistically significant different between two groups (p-value 0.528). On the second day, the scores were 3.2 ± 1.8 in study group and 3.8 ± 2.1 in control group (p-value0.086). The scores on seconded day were lower than first day in both groups without statistically significant different. (1.4 and 1.0,p-value 0.415).There are no significant different in both groups, for post operative tramadol used (p-value 0.463) and NSAID used (p- value 0.160)
Conclusions: The average pain scores and analgesic drugs used are not significant different between the study and control groups