After birth pains. Encounter for routine postpartum follow-up
Conditions
Interventions
Intervention 1: Intervention group: Sesame seeds are prepared from health centers under the auspices of the Faculty of Traditional Medicine of the University of Medical Sciences. They will be oiled. a
Sponsors
Mashhad University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: The person is willing to participate in the study Be at least literate The pain after delivery should be moderate to severe. (Based on the visual analog scale, a pain score higher than 4 is considered.) Present delivery should be a normal cephalic delivery The neonate should be alive and healthy A singleton pregnancy. The second to fourth delivery of the mother. Gestational age is 37 to 42 weeks. (Based on the first trimester ultrasound or the date of the first day of the last valid menstrual period) The baby should weigh between 2500 and 4000 grams.(based on the weight recorded in the baby's file) The mother has no history of sesame allergy. (Symptoms of sesame allergy include: chronic cough, eczema, urticaria and dermatitis) Not addicted to drugs, psychedelics, alcohol and tobacco. There will be no severe postpartum hemorrhage. (Bleeding that forces you to take medication (either non-oxytocin) or requires blood transfusions and operating room.) Have no history of any uterine surgery or cesarean section Medicinal analgesia has not been used to reduce labor pain (spinal, epidural, entonex) Do not have any medical condition (heart disease, chronic hypertension and pre eclampsia, diabetes, kidney and lung disease, autoimmune diseases) The first, second and third stages should be normal. (First stage: no rapid delivery or long progress, no long-term rupture of the membranes (more than 12 hours)Second stage: no instrumental delivery, no third or fourth degree perineal rupture, Third stage: spontaneous removal of placenta and membranes)
Exclusion criteria
Exclusion criteria: The mother's unwillingness to continue studying Mother refuses to take more than one sesame capsule or placebo Impossibility to continue breastfeeding the baby (due to the death of the baby or hospitalization in the neonatal intensive care unit) Any problems that interfere with the mother's routine care (transfer of the mother to the operating room - early discharge before 24 hours - bleeding or any obstetric problems of the mother that requires treatment)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intensity of afterpains. Timepoint: Two hours after delivery, gelatin capsules of sesame oil or placebo are given to the mother every 6 hours, and the severity of back pain is measured one hour after each dose. Method of measurement: To measure the intensity of pain, the painometer-visual analogue scale index, which is one of the parts of the painometer tool, will be used. It will be drawn 100 mm linearly and the left side of the number zero means painless and the right side of the number 10 means maximum pain. The mother is asked to mark the intensity of her lower abdominal pain on the line at that moment. | — |
Secondary
| Measure | Time frame |
|---|---|
| The quality of the afterpains. Timepoint: Two hours after delivery, gelatin capsules of sesame oil or placebo are given to the mother every 6 hours, and the quality of the afterpains is measured one hour after each dose. Method of measurement: To evaluate the quality of pain, the word description scale index, which is one of the parts of the painometer tool, will be used. This index is used to evaluate the quality of pain and consists of two parts. 11 items are sensory description words and 14 physical description words of pain. The mother will complete this form every 6 hours (4 times in total) one hour after receiving each dose of medication.The mother can mark any number of words she wants and the words will be assigned scores between 1 and 5 depending on their type and intensity. The sum of the maximum scores of the physical description items of pain is 47 and the sum of the maximum scores of the items of sensory description of pain is 37. Finally, the points related to the marked words are added together and the result, which varies between 2 and 84, evaluates the score of the quality of the mother's pain. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMahdis Mehrabi Bardar
Mashhad University of Medical Sciences
Outcome results
None listed