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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Binder | Experimental | Each woman 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. |
|
| No binder | No Intervention | The women will not be given a chance to wear abdominal binder or the likes. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Elastic abdominal binder | Device | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Daily average postoperative pain scores | A visual analog scale pain score | An average of pain scores at 8:00 am and 4:00 pm, up to 7 days postoperation |
| Postoperative functional recovery | Six-minute walk test (6MWT) | In the morning of postoperative day 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of life | The EuroQol Group's ED-5D-5L questionnaire | In the morning of postoperative day 3 |
| Postoperative complications | Febrile morbidity, wound complications, bowel ileus |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kittipat Charoenkwan, MD, MSc | Chiang Mai University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of OB-GYN, Faculty of Medicine, Chiang Mai University | Chiang Mai | 50200 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32871021 | Derived | Zimpel SA, Torloni MR, Porfirio GJ, Flumignan RL, da Silva EM. Complementary and alternative therapies for post-caesarean pain. Cochrane Database Syst Rev. 2020 Sep 1;9(9):CD011216. doi: 10.1002/14651858.CD011216.pub2. |
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| In the morning, up to 7 days postoperation |