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Cooling for perineal pain relief after childbirth: randomised trial

Randomised controlled trial of two local cooling regimes for relieving pain from perineal trauma sustained during childbirth

Status
Terminated
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12607000557437
Enrollment
20
Registered
2007-10-30
Start date
2008-10-06
Completion date
2009-02-10
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Perineal tears or cuts are common with childbirth and are often painful. Women are often advised to use ice packs to help relieve the pain, although there is very little evidence that this is effective. This trial will compare pain relief using two regimes of applying ice to the perineum. One group of women will have an ice pack applied to the perineum after giving birth, then replace it occasionally. The other group will have ice packs held firmly in place and be advised to rest and elevate the region. The results will enable a more evidence-based approach to care than is currently available.

Interventions

Systematic use of Rest, Ice, Compression and Elevation (R.I.C.E.). This involves resting horizantally at times, instead of sitting up all the time; applying ice to the perineum for 20 minutes every 2-3 hours for 2-3 days; and wearing well fitting clothes (underwear).

Sponsors

Royal Women's Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
-2147483648 No limit to -2147483648 No limit
Healthy volunteers
No

Inclusion criteria

Women having a vaginal birth who are willing and able to give informed consent and sustained perineal trauma (episiotomy / tear) or labial tears during childbirth

Exclusion criteria

Contraindications to cooling treatments (eg peripheral neuropathy); Third or fourth degree perineal tear.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026