Relief of perineal pain following childbirth: A survey of midwifery practice

Sleep, Jennifer; Grant, Adrian

doi:10.1016/s0266-6138(88)80024-x

Cited by 42 publications

(21 citation statements)

References 5 publications

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“…A national survey of midwifery practice undertaken by Sleep and Grant (1988) reported ice packs to be the most commonly used form of localised treatment to alleviate perineal pain and discomfort and a more recent National Childbirth Trust survey supports this conclusion (Hulme & Greenshields 1993). Concerns about a possible delay in wound healing caused by the accompanying vase-constriction effect: when cold therapy is applied to the perineum have been expressed by Sleep (1990) and Grundy (1997).…”

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial to compare the effectiveness of icepacks and Epifoam with cooling maternity gel pads at alleviating postnatal perineal trauma

Steen

Cooper²,

Marchant³

et al. 2000

Midwifery

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Section: Introductionmentioning

confidence: 99%

A randomised controlled trial to compare the effectiveness of icepacks and Epifoam with cooling maternity gel pads at alleviating postnatal perineal trauma

Steen

Cooper²,

Marchant³

et al. 2000

Midwifery

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“…The distress to women can be considerable. In hospital the application of ice packs to the perineum, bathing and the use of drugs such as paracetamol and codydramol (Hutchins et al 1985, Sleep & Grant 1988a are popular use of salt or Savlon@ as an additive to bath water, to prevent infection, promote healing and so reduce discomfort, have been popular practices in midwifery, but have been shown to be quite ineffective (Sleep & Grant 1988b).…”

Section: Introductionmentioning

confidence: 99%

The role of lavender oil in relieving perineal discomfort following childbirth: a blind randomized clinical trial

Dale

Cornwell

1994

Journal of Advanced Nursing

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Aromatherapy is a movement growth in popularity, but lacking scientific justification in the field of practice, although laboratory experiments are in evidence. Lavender oil is frequently selected for aromatherapy as having antiseptic and healing properties. More specifically, it has been used as a bath additive postnatally to reduce perineal discomfort. A blind randomized clinical trial is described, involving three groups of mothers, one using pure lavender oil, one a synthetic lavender oil and one an inert substance as a bath additive for 10 days following normal childbirth. Analysis of daily discomfort scores revealed no statistically significant difference between groups. It cannot be concluded that current practice results in a reduction of postnatal perineal discomfort at the dilution levels used. However, there is some consistency in results between the 3rd and 5th days, with those women using lavender oil as a bath additive recording lower mean discomfort scores. This is a time when the mother usually finds herself discharged home and perineal discomfort is high. A total of 635 women participated and no side-effects were found.

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“…4 Another exploratory study with 215 Australian postpartum women 72 hours after vaginal delivery showed that oral analgesia was offered to 75% of these women, and 69% of them also received the application of an ice pack, and 25% received anti-inflammatory medication. Although a variety of methods have been used to control perineal pain, 90% of women still report perineal pain, of which 37% reported moderate to severe pain.…”

Section: -3mentioning

confidence: 99%

“…4 Another study showed that among 69% of postpartum women who used ice within 48 hours of delivery, 32.8% considered it to be less effective, 43% quite effective, and 15.6% considered it extremely effective. 5 In the current study, the most commonly reported cooling techniques were ice cubes inside latex gloves and ice packs.…”

mentioning

confidence: 99%

Perineal Pain Relief Therapies After Postpartum

Peleckis

Francisco²,

Oliveira³

2017

Texto contexto - enferm.

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Objective: identifying therapies for treating perineal pain after vaginal birth and to verify indication, technique and duration of local cooling.Method: an exploratory study (survey) conducted in 32 public maternity hospitals in the city of São Paulo (Brazil). A nurse or midwife who provided direct care to the woman was interviewed in each maternity ward. We investigated: institutional characterization, professional qualification, pain relief method, criterion for administration of therapies, indication, contraindication, method, local cooling technique and interval. A descriptive analysis was also carried out.Results: pharmacological and non-pharmacological methods were used for perineal pain relief, despite the use of non-pharmacological therapies not having protocols in these institutions. Among the pharmacological-based methods, analgesics and anti-inflammatories were the most common. Local cooling was the most used non-pharmacological method, and its main indication was perineal edema. Application time and local cooling interval ranged from 10-30 min and 3-8 h, respectively. Ice cubes in latex gloves were the main cooling technique.Conclusion: drug therapies predominated for control of perineal pain. Considering the advantages of non-pharmacological therapies, it is necessary to develop protocols to ensure their safe and effective use in maternity care. DESCRIPTORS:Cryotherapy. Perineum. Postpartum period. Pain. Maternal-child nursing. TERAPIAS DE ALÍVIO DA DOR PERINEAL NO PÓS-PARTO RESUMOObjetivo: identificar as terapias para tratamento da dor perineal pós-parto normal e verificar indicação, técnica e duração da crioterapia.Método: estudo exploratório (survey) conduzido em 32 maternidades públicas do município de São Paulo (Brasil). Em cada maternidade, entrevistou-se uma enfermeira ou obstetriz que prestasse assistência direta à puérpera. Investigaram-se: caracterização institucional, qualificação profissional, método de alívio da dor, critério de administração das terapias, indicação, contraindicação, modalidade, técnica e intervalo da crioterapia. Realizou-se análise descritiva.Resultados: métodos medicamentosos e não medicamentosos foram utilizados no alívio da dor perineal, apesar do uso das terapias não medicamentosas não estar protocolado nessas instituições. Entre os métodos medicamentosos destacaram-se os analgésicos e antiinflamatórios. A crioterapia foi o método não medicamentoso mais utilizado, sendo sua principal indicação o edema perineal. Tempo de aplicação e intervalo da crioterapia variaram 10-30min e 3-8h, respectivamente. Cubos de gelo em luva de látex foi a principal técnica de resfriamento.Conclusão: as terapias medicamentosas predominaram no controle da dor perineal. Considerando as vantagens das terapias não medicamentosas, faz-se necessário desenvolver protocolos para garantir seu emprego seguro e eficaz na assistência obstétrica. DESCRITORES: TERAPIAS DE ALIVIO DEL DOLOR PERINEAL EN EL POSTPARTO RESUMENObjetivo: identificar las terapias para el tratamiento del dolor perin...

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Relief of perineal pain following childbirth: A survey of midwifery practice

Cited by 42 publications

References 5 publications

A randomised controlled trial to compare the effectiveness of icepacks and Epifoam with cooling maternity gel pads at alleviating postnatal perineal trauma

A randomised controlled trial to compare the effectiveness of icepacks and Epifoam with cooling maternity gel pads at alleviating postnatal perineal trauma

The role of lavender oil in relieving perineal discomfort following childbirth: a blind randomized clinical trial

Perineal Pain Relief Therapies After Postpartum

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