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Efficacy of Cold Gel Pack in Reducing Postoperative Pain in Cesarean Delivery at Sanpasitthiprasong Hospital: Randomized controlled trial |
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| รหัสดีโอไอ | |
| Creator | Patchareeya Siripanthong |
| Title | Efficacy of Cold Gel Pack in Reducing Postoperative Pain in Cesarean Delivery at Sanpasitthiprasong Hospital: Randomized controlled trial |
| Contributor | Piyawadee Wuttikonsammakit, Parinya Chamnan |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2565 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 30 |
| Journal No. | 1 |
| Page no. | 15-24 |
| Keyword | cold gel pack, postoperative pain, cesarean delivery |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: To evaluate efficacy and safety of cold gel pack in adjunctive to standard pain control inreducing postoperative pain after Cesarean deliveryMaterials and Methods: Between December 2019 and March 2020, 34 women who underwentCesarean delivery under regional anesthesia with neuraxial opioid at Sanpasitthiprasong Hospitalwere recruited. They were randomized into two groups: 1) receiving adjunctive cold gel packcovering surgical wound at 2-hour postdelivery for 20 minutes (intervention group, n = 17) or 2)receiving standard pain control (control group, n = 17). Pain scores were assessed using visualanalogue scale (VAS) at 2 hours (before intervention), 6 hours (4 hours after intervention) and24 hours postdelivery. Data on additional analgesic drugs, possible complications, participant'ssatisfaction were recorded. Pain scores were compared between treatment groups using studentt-test and occurrence of complications compared using chi-square test.Results: With comparable initial pain score, intervention group had significantly lower postoperativepain at 6 hours after Cesarean delivery than control group (mean pain score ? standard deviation3.53 ? 2.12 and 5.44 ? 1.56 respectively, p = 0.005), but there was no difference at 24 hourspostdelivery. Patients in both groups required similar amount of additional analgesia. Therewere no significant differences between groups in postpartum hemorrhage, length of hospitalstays and surgical wound infection. There were moderate and high patient satisfaction similarlyobserved for the two groups. No adverse effect from intervention happened in the interventiongroup.Conclusion: Adjunctive cold gel pack was efficacious in reducing postoperative pain at 6 hours afterCesarean delivery without safety concerns. |
