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Randomized controlled trial of abdominal binders for postoperative pain, distress, and blood loss after cesarean delivery

Ghana, S. and Hakimi, S. and Mirghafourvand, M. and Abbasalizadeh, F. and Behnampour, N. (2017) Randomized controlled trial of abdominal binders for postoperative pain, distress, and blood loss after cesarean delivery. International Journal of Gynecology and Obstetrics, 137 (3). pp. 271-276.

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Abstract

Objective: To assess the effect of using abdominal binders on pain, distress, and postpartum hemorrhage after cesarean delivery. Methods: The present prospective randomized controlled trial enrolled patients undergoing non-emergency cesarean deliveries in Gonbad-e Kavus, Golestan Province, Iran, between January 22 and October 23, 2015. Patients were randomized in a 1:1 ratio by blocks of four or six to a control group or to use an abdominal binder after delivery; all patients received routine care. The primary outcomes were visual analog scale-assessed pain, symptom distress scale (SDS)-assessed distress, and hemoglobin and hematocrit levels. Participants and researchers were masked to treatment assignments until after cesarean delivery, and data analysis was unmasked; intention-to-treat analyses were performed. Results: There were 89 patients enrolled in each group, with no differences in baseline pain scores, SDS scores, and hemoglobin and hematocrit levels between the groups (all P>0.05). Pain and SDS scores were lower in the binder group at all post-baseline time points compared with the control group (all P<0.001). Hemoglobin and hematocrit levels were higher among patients who received binders 36 hours after baseline (both P<0.001). There was one patient who experienced hemorrhage in the binders group and one patient requested removal of their binder. Conclusion: Patients who received abdominal binders reported less pain, lower SDS scores, and higher hemoglobin and hematocrit levels following cesarean delivery. Iranian Registry of Clinical Trials: IRCT2015042521917N2. © 2017 International Federation of Gynecology and Obstetrics

Item Type: Article
Additional Information: cited By 0
Uncontrolled Keywords: hemoglobin, abdominal binder; adult; Article; bleeding; cesarean section; comparative study; controlled study; device removal; distress syndrome; double blind procedure; female; gynecological and obstetric therapeutic device; hematocrit; hemoglobin blood level; human; major clinical study; postoperative hemorrhage; postoperative pain; postpartum hemorrhage; priority journal; prospective study; randomized controlled trial; surgical patient; Symptom Distress Scale; therapy effect; treatment outcome; visual analog scale
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 08 Oct 2017 10:53
Last Modified: 08 Oct 2017 10:53
URI: http://eprints.goums.ac.ir/id/eprint/9418

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