Clinical trial NCT05560347: The Effect of Hot Water After Cesarean Section
Official title: The Effect of Hot Water Application on Pain, Comfort and Vital Singns After Cesarean
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Cesarean Section
Keywords: Cesarean section
Hot Water
Pain
Lead sponsor: Marmara University
Sponsor class: OTHER
First posted: 2022-09-29
Enrollment: 90
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 49
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized, controlled, experimental, clinical trial
Primary purpose: SUPPORTIVE_CARE

Brief summary: The main subject of this project is the problem of pain after cesarean section. It is known that the application of hot water reduces the pain of the patients, with the decrease of the pain, the vital signs of the patient are improved and the comfort level increases. Our project work is based on this subject.

Detailed description: Cesarean section surgery is an attempt to become mandatory and applied in cases where vaginal delivery is dangerous for the mother and fetus. One of the most common problems that women experience in the process after cesarean section is pain. This pain experienced for various reasons such as incision site pain, headache and pain caused by uterine contractions negatively affects the comfort of the woman in the postpartum period. In addition to pain, especially after cesarean section, the woman cannot be mobilized, the presence of a urinary catheter, the negative effects caused by anesthesia cause the mother to be unable to meet her own self-care needs and perform life activities, which disrupts the comfort of the woman As a result of the study in which Çankaya evaluated the comfort of mothers who gave birth by cesarean section, it was found that 78% of mothers have pain at the incision site and this negatively affects maternal comfort The pain that cannot be controlled causes a limitation in activities, respiratory, circulatory and digestive system problems in the postoperative period and prolongs the recovery period. Therefore, the woman's pain should be managed and aimed at minimizing it. In this context, when looking at the literature, it is noticeable that there are various methods of dealing with pain after cesarean section. Pharmacological treatment options are preferred in the management of pain after cesarean section due to their ability to reduce and treat pain in a shorter period of time. After cesarean section, more often non-steroidal anti-inflammatory drugs or paracetamol-derived drugs are used. Non-pharmacological methods should also be used in pain management to support pharmacological methods and minimize the use of analgesics Some non-pharmacological methods used can be listed as follows; aromatherapy, massage hand/foot massage, listening to music, progressive relaxation exercises, acupuncture, hot and cold applications. A limited number of studies on hot application have been found in the literature. Based on these results, this study is planned to examine the effects of hot water application on pain comfort and life signs.

Eligibility criteria: Inclusion Criteria

* At least primary school graduate
* 18 years and older
* No history of chronic disease (Diabetes, etc.)
* Risky pregnancy (Premature rupture of membranes, Premature birth threat, preeclampsia etc.) without diagnosis
* Women who do not develop any complications (Atony, abnormal bleeding, need for blood transfusion, risks related to anesthesia, bladder injury, etc.) during or after the operation.

Exclusion Criteria:

* Not a primary school graduate
* Under 18 years old
* Blood pressure, diabetes, etc. sick
* Diagnosed with risky pregnancy,
* Complications developing during or after surgery
* Women who do not want to participate in the study.

Primary outcomes:
measure: Change in Pain assessed by VAS score
timeFrame: 3rd and 6th hours after cesarean section
Secondary outcomes:
measure: Change the comfort score
timeFrame: 12 th hours after cesarean section
Other outcomes:
Locations:
Study officials:
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