Perineal pain. Perineal pain interference in daily activities: sitting, walking, urination, defecation, sleeping, breastfeeding and caring for the newborn.
Conditions
Interventions
Single application of ice pack in the perineal region for 20 minutes in 50 women (only group) with perineal pain greater than or equal to 3 in the numerical pain scale (0 to 10 points, with 0 = no pai
2) immediately after cryotherapy 3) 2 hours after cryotherapy.The pain interference with activities sitting, walking, urination, defecation, sleeping, breastfeeding and care of the newborn were questi
Procedure/surgery
E02.258
E01.370.600.550.324
Sponsors
Universidade de São Paulo
Amparo Maternal
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: equal to or greater than 18 years old; at least one vaginal delivery prior to the current; Current normal delivery; term pregnancy (between 37 and 41 weeks and 6 days gestational age); single live fetus and cephalic presentation; not have received the analgesic prior to study entry three hours; be within 6 to 24 h post-partum; not have received spinal and / or epidural anesthesia; refer largest perineal pain or equal to 3 on a scale at the time of study enrollment; have had RN in good clinical condition; not show clinical or obstetric complications; not present difficulties of communication or understanding of the English language.
Exclusion criteria
Exclusion criteria: Receiving analgesic or anti-inflammatory until 120 min after the use of cryotherapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Perineal analgesia immediately after application of ice packs and maintenance for 2 hours after application, verified by the numerical pain scale, from the observation of a reduction of at least 30% in pre measurements, post intervention and 2 hours later.;The intensity of the perineal pain showed significant reduction after the application of ice pack and kept for 2 hours, indicating the remaining analgesic effect during this period. | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduction of the perineal temperature measured using the digital thermometer MINIPA® MT model 405 dual-channel comprising a surface thermocouple (MTK 01) placed close to the root of the left thigh of the puerperal woman, which should reach from 10 ° C to 15 ° C after 20 minutes of application of ice packs and pain interference with activities of sitting, walking, urination, defecation, sleeping, breastfeeding and care of the newborn, measured through a pain interference scale designed to assess this outcome (0 = not interfere and 10 = interferes very) assessed before and after the application of an ice pack.;The average temperature of the perineum immediately after the use of cryotherapy was expected within the established parameters, suggesting that the ice pack was effective for cooling the perineal region. Regarding the interference of perineal pain in carrying out daily activities, it was observed that most mothers reported discomfort to sit, walk, urinate and sleep. It was not perceived pain interference with breastfeeding and baby care activities. | — |
Countries
Brazil
Contacts
Public ContactCaroline ;Sonia Paiva;de Oliveira
Universidade de São Paulo;Universidade de São Paulo
Outcome results
None listed