A randomized controlled trial of abdominal binders for the management of postoperative pain and distress after cesarean delivery

International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics
Christin M GillierJames N Anasti

Abstract

To determine whether abdominal binders effectively control pain and distress after cesarean delivery. A prospective randomized controlled trial was conducted between April and November, 2014, among women undergoing cesarean delivery (low-transverse skin incision) at two US hospitals. Participants were randomly allocated to either the abdominal binder or control groups on entry to the operating suite. Masking was not possible. Patients in the abdominal binder group were fitted with a device before leaving the operating room and were encouraged to wear it constantly, although breaks were allowed. The primary outcomes were postoperative distress (measured by the Symptom Distress Scale [SDS]) and pain (measured by a visual analog scale [VAS]). Individuals who asked to be removed from the study within 6hours of surgery were excluded from analyses. Analyses included 87 patients in the abdominal binder group and 68 in the control group. The abdominal binder and control groups did not differ in postoperative day 1 VAS (3.1±2.1 vs 3.4±2.3; P=0.33), postoperative day 2 VAS (3.0±1.9 vs 3.8±2.2; P=0.16), postoperative day 1 SDS (21.5±5.4 vs 21.8±5.1; P=0.87), and postoperative day 2 SDS (19.4±4.8 vs 19.9±5.0; P=0.53). Postoperative pain an...Continue Reading

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Citations

Feb 28, 2017·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Samieh GhanaNasser Behnampour
Jan 31, 2017·Anesthesiology Clinics·Caitlin Dooley Sutton, Brendan Carvalho
Feb 11, 2020·International Anesthesiology Clinics·Erica HollandChloe Zera
Sep 7, 2019·MCN. the American Journal of Maternal Child Nursing·Christina TusseyNatasha Makarova
May 14, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Wisit Chankhunaphas, Kittipat Charoenkwan
Sep 2, 2020·The Cochrane Database of Systematic Reviews·Sandra A ZimpelEdina Mk da Silva
Nov 26, 2020·Surgical Innovation·Nanhui JiangTao Guo
Jan 21, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Mohamed Abd-ElGawadMaged Almohamady
Mar 14, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Xin SunQuan Wei
May 17, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Daniele Di MascioViolante Di Donato

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