Women delivering by caesarean section Pregnancy and Childbirth
Conditions
Interventions
Participants will be randomised to:
a) Intervention group
a 30-minute full-body (posterior aspect) session of mechanical massage using an automated electric massage chair
OR
b) Placebo group
a 30-minute mechanical vibration session using an identical automated electric massage chair
The session will be initiated on the day following the caesarean section.
Participants are informed that
Sponsors
University of Malaya
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. No later than 24 hours after Caesarean 2. Able to mobilise 3. Age 18-40 years old 4. Singleton offspring 5. Any parity 6. =37 weeks gestation age 7. Lower Segment Caesarean Section 8. Suprapubic transverse skin incision 9. BMI <40 kg/m2 10. Regional anaesthesia only for caesarean
Exclusion criteria
Exclusion criteria: 1. Complicated caesarean (severe PPH >1500 ml, bowel or bladder injury, balloon tamponade etc) 2. Neonatal complications (admission, structural anomaly etc) 3. Stillbirth 4. ICU/HDU care 5. Ongoing Patient-Controlled Analgesia (PCA) or regional analgesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain measured using the 0-10 Numerical Rating Scale (NRS) (higher score more pain) scores immediately after the massage chair session, then at 1, 2, 4 and 8 hours later | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Participants’ likelihood to recommend their allocated massage chair treatment to a friend measured using a 5-grade Likert scale as reported by participants 8 hours after the massage chair session 2. Additional opiate analgesia measured using data collected from medical charts from intervention to hospital discharge 3. Intervention to hospital discharge interval measured using data collected from medical charts from intervention to hospital discharge 4. Prescribed analgesics at hospital discharge measured using data collected from medical charts from intervention to hospital discharge 5. Bleeding from the transverse suprapubic incision measured using data collected from medical charts at hospital discharge 6. Separation (=5mm) of the transverse suprapubic incision site measured using data collected from medical charts at hospital discharge 7. Estimated vaginal bleeding =500 ml measured using data collected from medical charts from intervention to hospital discharge 8. Repeated measures analysis of the serial pain scores (from primary outcome 0-10 NRS pain score immediately after the massage chair session, then at 1, 2, 4 and 8 hours later) | — |
Countries
Malaysia
Contacts
Public ContactNor Atiqah Mohd Salleh
Outcome results
None listed