Caesarean section Pregnancy and Childbirth
Conditions
Interventions
Participants will be randomised to:
1. Intervention group (cold gel pack)
2. Control group (room temperature gel pack)
The allocated pack will be placed over the entire Caesarean wound at 6, 12 and 1
Sponsors
University Malaya Medical Centre
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Age =18 years old 2. Caesarean section 3. Lower transverse suprapubic skin incision 4. Regional (spinal/epidural) anaesthesia 5. BMI <40 kg/m2
Exclusion criteria
Exclusion criteria: 1. Neonatal admission to intensive care 2. Women who needed intensive or high dependency care after caesarean 3. Does not speak Malay or English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain at first mobilisation (first getting out of bed and moving about, typically on the day after surgery) scored using the 11-point 0-10 numerical rating scale (NRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured predischarge: 1. Pain just before and just after each application of compress at 6, 12 and 18 hours after surgery, measured using NRS 2. Maternal satisfaction with allocated compress, measured using Likert scale 3. Pre-discharge analgesia used (type of analgesia and total doses), measured using medical records Measured at 14 days after delivery (by telephone): 4. Oral analgesia for pain in the last 2 weeks (type of analgesia and total doses) 5. Pain during mobilisation measured using NRS Measured at 6 weeks after delivery (by telephone): 6. Oral analgesia for pain in the last month (type of analgesia and total doses) 7. Pain during mobilisation measured using NRS 8. Wound has healed well measured using Likert scale | — |
Countries
Malaysia
Contacts
Public ContactSiti Nurhalijah Binti Salam
Outcome results
None listed