2.50
Hdl Handle:
http://hdl.handle.net/10755/156239
Type:
Presentation
Title:
Perineal Cold Gel Pad Versus Oral Analgesic to Relief Episiotomy Wound Pain
Abstract:
Perineal Cold Gel Pad Versus Oral Analgesic to Relief Episiotomy Wound Pain
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Punasundri, Thangaraju, RN
P.I. Institution Name:Singapore General Hospital
Title:Nurse Clinician
[Research Paper or Poster Presentation] Background: The primary cause of perineal pain is the episiotomy or tearing of the perineum during vaginal delivery. Perineal pain in the early post partum period has been reported to be one of the most common causes of maternal morbidity. It also impairs a mother's ability and willingness to care for the newborn. Currently, the patient is prescribed a standard regime of tab paracetamol three times a day for pain relief. This study was undertaken to compare the effectiveness of perineal cold gel pad versus oral analgesics in post partum perineal pain relief. Methods: 220 patients who delivered their first or second baby by normal vaginal delivery or assisted vaginal delivery with an episiotomy done were selected and randomized into either a control or experimental group. The control group was given oral analgesics while the experimental group was given one packet of 4 perineal cold gel pads post delivery. Assessment and pain score rating was done by the nurse at intervals of 3, 6, 12, and 24 hrs. These ratings were record in the questionnaire provided. Results: Pain score for the cold gel group was statistically significant, p< 002 after 3 hours of pain relief to p< 000 at 6 hrs. 19.1% to 27 % of patients in the oral analgesic group experienced no pain compared to 26.4% to 49.1 % in the cold gel pad group. Due to reduction in pain, patients in the cold gel pad were able to ambulate, manage and breast feed their babies early. A total of 97.3% of patients were satisfied with the cold gel pads for its effectiveness in absorbing the lochia. Conclusion: The study showed that the use of the cold gel pads as an alternative method of pain relief was as effective in reducing perineal pain as oral analgesics.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePerineal Cold Gel Pad Versus Oral Analgesic to Relief Episiotomy Wound Painen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156239-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Perineal Cold Gel Pad Versus Oral Analgesic to Relief Episiotomy Wound Pain</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Punasundri, Thangaraju, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Singapore General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Clinician</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">thangaragu.punasundri@sgh.com.sg</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: The primary cause of perineal pain is the episiotomy or tearing of the perineum during vaginal delivery. Perineal pain in the early post partum period has been reported to be one of the most common causes of maternal morbidity. It also impairs a mother's ability and willingness to care for the newborn. Currently, the patient is prescribed a standard regime of tab paracetamol three times a day for pain relief. This study was undertaken to compare the effectiveness of perineal cold gel pad versus oral analgesics in post partum perineal pain relief. Methods: 220 patients who delivered their first or second baby by normal vaginal delivery or assisted vaginal delivery with an episiotomy done were selected and randomized into either a control or experimental group. The control group was given oral analgesics while the experimental group was given one packet of 4 perineal cold gel pads post delivery. Assessment and pain score rating was done by the nurse at intervals of 3, 6, 12, and 24 hrs. These ratings were record in the questionnaire provided. Results: Pain score for the cold gel group was statistically significant, p&lt; 002 after 3 hours of pain relief to p&lt; 000 at 6 hrs. 19.1% to 27 % of patients in the oral analgesic group experienced no pain compared to 26.4% to 49.1 % in the cold gel pad group. Due to reduction in pain, patients in the cold gel pad were able to ambulate, manage and breast feed their babies early. A total of 97.3% of patients were satisfied with the cold gel pads for its effectiveness in absorbing the lochia. Conclusion: The study showed that the use of the cold gel pads as an alternative method of pain relief was as effective in reducing perineal pain as oral analgesics.</td></tr></table>en_GB
dc.date.available2011-10-26T14:35:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:35:23Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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