Cesarean Section Complications
Conditions
Brief summary
Cesarean delivery is a common obstetrical procedure and is associated with increased maternal morbidity and mortality. Pain and limited mobilization are major contributing factors that result in delayed functional recovery and complications. Elastic abdominal binder, a wide elastic belt that is wore around the patient's abdomen to support surgical incision after surgery, has been employed by clinicians for pain relief, wound complications prevention, improved pulmonary function, and stabilization. Benefits of the abdominal binder use have not been properly examined. The aim of this study is to examine the effect of postcesarean elastic abdominal binder use on recovery by comparing pain scores and mobility function (through the 6-minute walk test \[6MWT\]) in postcesarean mothers who use versus do not use the elastic abdominal binder to support incisional site.
Interventions
DEVICEElastic abdominal binder
Participants will be fitted with an elastic abdominal binder at the time of procedure completion just before leaving the operating room. The binder will be placed snuggly tight on top of the hospital gown at the infraumbilical level with the incision positioned at the middle part of the binder. The patients will be encouraged to wear binders at all time. However, periods of break from wearing the binder will be allowed at their convenience.
Sponsors
Chiang Mai University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women undergoing cesarean delivery
Exclusion criteria
* Cesarean hysterectomy * Intraoperative accidental injury to urinary or gastrointestinal organs * Postoperative admission to intensive care unit (ICU) * Postoperative intraperitoneal drain placement * Unable to understand and follow oral/written instructions * Severe neuromuscular or circulatory disorders * Pulmonary diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Daily average postoperative pain scores | An average of pain scores at 8:00 am and 4:00 pm, up to 7 days postoperation | A visual analog scale pain score |
| Postoperative functional recovery | In the morning of postoperative day 3 | Six-minute walk test (6MWT) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | In the morning of postoperative day 3 | The EuroQol Group's ED-5D-5L questionnaire |
| Postoperative complications | In the morning, up to 7 days postoperation | Febrile morbidity, wound complications, bowel ileus |
Countries
Thailand
Outcome results
None listed