None listed
Conditions
Brief summary
An important part of therapeutic procedure after caesarean section (cc), which should start in the first days after surgery, is lymphatic drainage (both manual and brushing). According to the literature, the use of lymphatic drainage in the first days after cc surgery allows to reduce pain and thus may contribute to less fear of patients moving around after surgery, which in turn may contribute to improving mobility and general functioning in everyday life, accelerate recovery after childbirth, while improving lymphatic drainage at the surgical site may contribute to better healing of the postoperative wound and positively affect the future appearance of the scar and abdominal integuments. All the relationships described may affect the well-being of patients. The aim of the study will be to assess the impact of lymphatic drainage of abdominal wall and brushing in the first days after cesarean section on the appearance of the scar (POSASS and VSS questionnaires) and the psychophysical condition of patients ( SF-36 questionnaires and the Beck Depression Scale).
Interventions
In the first day after cesarean section, women will be an instructed about the manual lymphatic drainage and brushing techniques. Instructions will be performed face-to-face with a physiotherapist working in the maternity ward (a member of research team). It will last for about 20 minutes. Each participant will receive the necessary equipment: a drainage brush (surgical brush) and a printed instruction with photos illustrating each technique (proprietary, created for this study). Then the parti
In the first day after cesarean section, women will be an instructed about the manual lymphatic drainage and brushing techniques. Instructions will be performed face-to-face with a physiotherapist working in the maternity ward (a member of research team). It will last for about 20 minutes. Each participant will receive the necessary equipment: a drainage brush (surgical brush) and a printed instruction with photos illustrating each technique (proprietary, created for this study). Then the participants will perform the manual lymphatic drainage and brushing on their own - from the first to the fourth day after cesarean section. Women will be instructed to perform manual lymphatic drainage and brushing 3 times a day for 10-15 minutes. Drainage will be performed both manually (gentle finger movements) and with the surgical brush described above (brushing; also gentle movements), in the following sequence: 1. Drainage of the lymph nodes in the mandible - circular movements (manual); 2. Drainage of lymph nodes in the supraclavicular and subclavian fossae - sliding and then circular movements (manual); 3. Abdominal drainage: Above the navel, upward movements, and below the navel, downward strokes, then circular movements (manual); 4. Drainage of the inguinal pits (movement from the inside out) - sliding movements and then circular movements (manual); 5. Drainage of the groin (movement from the inside out) - sliding and then circular movements (with a brush); 6. Abdominal drainage: Above the navel, upward movements, and below the navel, downwards - sliding movements and then circular movements (with a brush). The patients will be visited daily by the physiotherapist who gave them tips on lymphatic drainage (a member of the research team) and asked how they are doing. Patients will be asked to keep a participant self-report diary. Participants in the intervention group will receive the intervention in addition to standard care during the study period.
Sponsors
Poznan University School of Physical Education
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
Primiparous women after cesarean section delivery. Age between 20-40 years. Alive newborn born not earlier than 37 weeks of gestation APGAR 9-10. Physiological pregnancy. The transverse incision. Provided informed consent prior to commencing the study.
Exclusion criteria
Postoperative wound infection. Perinatal trauma of the uterus and / or abdominal wall. Mental health disorders. Second degree obesity before pregnancy (BMI > 35). Intellectual or motor disability. Multiple sclerosis. Cancer
Outcome results
None listed