Randomized controlled trial of abdominal binders for postoperative pain, distress, and blood loss after cesarean delivery

Ghana, Samieh; Hakimi, Sevil; Mirghafourvand, Mojgan; Abbasalizadeh, Fatemeh; Behnampour, Nasser

doi:10.1002/ijgo.12134

Cited by 29 publications

(49 citation statements)

References 20 publications

(31 reference statements)

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“…Since pain may interfere with recovery and impede maternal-infant interactions, results suggested that an abdominal binder may alleviate patient pain during the first 24 hours following surgery. In our study, average pain reported 24 hours postoperatively among the binder group, was similar to the results found by Ghana et al 15 In comparison, the patients in the control group in our study had lower average pain compared to their study control group. On postoperative day one, Gillier et al 14 reported no difference in VAS scores regarding postoperative pain, but noted a slight difference in scores postoperative day two.…”

Section: Discussionsupporting

confidence: 91%

“…This was not surprising, since most blood loss in a cesarean is intra-operatively. Ghana et al 15 found a statistically significant higher blood loss volume in their control group between baseline and 36 hours. Similarly, based on results from our study, the difference in hemoglobin concentration levels before and 24 hours after surgery were lower among women in the binder group, although not statistically significant.…”

Section: Discussionmentioning

confidence: 87%

“…Our findings supported previous findings that an abdominal binder reduces postoperative pain among patients going through major abdominal surgery, 13 and in regard to postoperative pain, our results were in agreement with the Ghana et al study. 15 …”

Section: Discussionmentioning

confidence: 99%

“…Similarly, based on results from our study, the difference in hemoglobin concentration levels before and 24 hours after surgery were lower among women in the binder group, although not statistically significant. Furthermore, Ghana et al 15 used a method presented by Shook et al 24 to calculate blood loss based on estimated patient blood volume, and hematocrit levels measured preoperative and postoperative. We are unable to extrapolate on the postoperative blood loss using the pad counts, since estimated blood loss was not determined from the pads; however, we think pad use provides insight regarding blood loss in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

“…Gillier et al 14 found no significant difference in pain between their two study groups on postoperative day one, although a slight, non-significant difference was noted postoperative day two. In contrast, Ghana et al 15 found patients receiving abdominal binders reported less postoperative pain and less blood loss. Our randomized controlled trial aimed to evaluate the effect of abdominal binder use on postoperative pain and hemorrhage among patients undergoing cesarean delivery.…”

Section: Introductionmentioning

confidence: 90%

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Elastic Abdominal Binders Reduce Cesarean Pain Postoperatively

Gustafson

Dong

Duong

et al. 2019

kjm

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BackgroundA potential non-pharmacologic way to reduce postoperative pain and bleeding is using an abdominal binder during postoperative recovery. This study aims to determine the effect an elastic abdominal binder has on postoperative pain and hemorrhage after cesarean delivery.MethodsA randomized, single-site, pilot trial was conducted at two prenatal care clinics and an academic hospital in Kansas. Beginning in April 2013, 60 patients were enrolled if delivering via cesarean. Participants were randomized to receive an abdominal binder or to a control group (did not use binder). Pain levels were reported by questionnaire one day after surgery using a 0 to 10 scale, with 10 being the worst pain. Patient characteristics and blood loss were assessed by medical record review.ResultsOf the 56 patients completing the study, 29 (51.8%) were randomized to the binder group and 27 (48.2%) were randomized to the control group. The binder group reported significantly lower pain score (p = 0.019) and average pain score (p = 0.024). There was no difference in body mass index, age, previous surgery, infant birth weight, estimated blood loss, and average dose of pain medication during the first 24 hours after the cesarean delivery between the two groups. There was no difference in pre- and post-operative hemoglobin levels by treatment group (p = 0.406).ConclusionsAbdominal binders may be associated with improved postoperative pain scores but did not affect postoperative hemorrhage.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

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Elastic Abdominal Binders Reduce Cesarean Pain Postoperatively

Gustafson

Dong

Duong

et al. 2019

kjm

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Complementary and alternative therapies for post-caesarean pain

Zimpel

Torloni

Porfírio

et al. 2020

Cochrane Database of Systematic Reviews

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The effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta‐analysis of randomized controlled trials

Abd-ElGawad

Ali

Abdelmonem

et al. 2021

Intl J Gynecology & Obste

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Background Abdominal binder is a non‐pharmacological method of relieving pain after surgical procedures. Objectives To evaluate the effectiveness of the abdominal binder in relieving pain and distress scores after cesarean delivery (CD). Search strategy The following terms were searched: cesarean section, cesarean, caesarean, abdominal deliveries, C‐section, abdominal delivery, abdominal binding, binder, and abdominal binder. Selection criteria Randomized controlled trials (RCTs) with patients undergoing CD receiving an abdominal binder compared with non‐users of the abdominal binder. Data collection and analysis Five electronic databases were searched until November 2019. Records were screened for eligibility. Data were extracted independently and analyzed. The main outcomes were pain and distress scores. Results The final analysis included six RCTs. Overall effect estimate favored the abdominal binder group over the control group in the following outcomes: VAS pain scores after 24 h (mean difference [MD] −1.76; 95% confidence interval [CI] −3.14 to −0.39; P = 0.01), VAS scores after 48 h (MD −1.21; 95% CI −1.51 to −0.90; P < 0.001), distress score after 24 h (MD −1.87; 95% CI −3.01 to −0.73; P = 0.001), and distress score after 48 h (MD −1.87; 95% CI −3.07 to −0.67; P = 0.002). Conclusion The abdominal binder could be an effective, simple, non‐pharmacological option of relieving pain and distress after CD.

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Randomized controlled trial of abdominal binders for postoperative pain, distress, and blood loss after cesarean delivery

Abstract: IRCT2015042521917N2.

Cited by 29 publications

References 20 publications

Elastic Abdominal Binders Reduce Cesarean Pain Postoperatively

Elastic Abdominal Binders Reduce Cesarean Pain Postoperatively

Complementary and alternative therapies for post-caesarean pain

The effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta‐analysis of randomized controlled trials

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