Cesarean section. Encounter for cesarean delivery without indication
Conditions
Interventions
Intervention 1: Intervention group: After cesarean section, each member of the intervention group will receive a can containing 22 Anahil 500 mg tablets from Salamat Permon Amin Company, Tehran-Iran,
Sponsors
Arak University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: No use of dexamethasone during and after surgery No vascular disease No coagulation disorders No history of sensitivity to bromelain and any pineapple derivatives No hypertension, diabetes, rheumatic diseases, kidney failure, or liver disease No use of anti-inflammatory drugs, steroids, corticosteroids, tetracycline, or amoxicillin Horizontal cesarean section Consent to participate in the study
Exclusion criteria
Exclusion criteria: Withdrawal from the study Severe side effects due to supplement use Failure of the patient to adhere to the treatment protocol Loss to follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total scar quality score based on the Vancouver Scar Scale (VSS). Timepoint: Days 1, 7, and 11 after surgery. Method of measurement: Pain: NRS scale (0-10) will be used.Edema: Edema Grading Scale (+1-+4) will be used to measure the degree of edema at the scar site.Redness and skin discoloration: Erythema Grading Scale (1-4) will be used to measure the severity of redness and skin discoloration.Infection: The degree of infection will be measured through clinical criteria such as the presence of pus, odor, etc.Disintegration: SWD scale with 4 grades will be used to measure the degree of disruption at the scar site. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity at the incision site — measured using the Visual Analogue Scale (VAS) at baseline, week 1, and week 4 after cesarean section.Incision site inflammation score — evaluated clinically at week 1 and week 4 post-operation.Incidence of wound infection — defined by redness, discharge, or positive culture findings within 4 weeks following surgery.Patient satisfaction with cosmetic appearance of the scar — assessed using a 5-point Likert scale at week 4.Analgesic consumption (e.g., acetaminophen use) — recorded throughout the 4-week postoperative period. Timepoint: Days 1, 7, and 11 after surgery. Method of measurement: Pain: NRS scale (0-10) will be used.Edema: Edema Grading Scale (+1-+4) will be used to measure the degree of edema at the scar site.Redness and skin discoloration: Erythema Grading Scale (1-4) will be used to measure the severity of redness and skin discoloration.Infection: The degree of infection will be measured through clinical criteria such as the presence of pus, odor, etc.Disintegration: SWD scale with 4 grades will be used to measure the degree of disruption at the scar site. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh Seydi Aqilabadi
Arak University of Medical Sciences
Outcome results
None listed