Clinical trial NCT05312515: The Effect of Hot Bag/Warm Application on Feet After Cesarean Delivery on Postpartum Comfort, Pain and Flatus
Official title: The Effect of Hot Bag/Warm Application on Feet After Cesarean Delivery on Postpartum Comfort, Pain and Flatus
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cesarean Section Complications
Pain
Postpartum Anxiety
Keywords: Cesarean Section
Pain
Postpartum Comfort
Lead sponsor: Selcuk University
Sponsor class: OTHER
First posted: 2022-04-05
Enrollment: 108
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: In order to ensure randomization in the study, a random numbers table was created by dividing into two groups out of 238 samples by taking 10% more than the number of samples determined on the site https://www.randomizer.org/. In order to avoid bias, the assignment of women to the intervention and control groups according to the randomization list will be determined by a midwife working in the clinic, who is not one of the study authors. In the study, the CONSORT scheme will be followed during the application.
Primary purpose: SUPPORTIVE_CARE

Brief summary: The postpartum period is a process in which both physical (bleeding, infection, anemia) and emotional (delay in breastfeeding and mother-baby relationship) problems occur in women. Among the conditions that physically affect the woman who has had a cesarean section, a decrease in bowel movements is often seen and this decrease can last for 24 hours or longer. Initiation of bowel movements after surgery, time of first flatulence and defecation are important factors that determine postoperative patient comfort.

Detailed description: Pain after cesarean section is usually associated with incision site and uterine contractions. There are various medical treatment and midwifery applications for the resolution of pain and gas output after cesarean section. Recently, it has been stated that in addition to the treatments applied after surgery, non-drug methods should be used to increase the effectiveness of recovery. These methods include applications such as hot application, abdominal massage, music therapy, chewing gum. The effect of hot application in patients with post-operative gas problems is the acupuncture points of the foot, warm and moist heat stimulation and the small intestine, colon, anus and other reflective areas. activates blood circulation. It is predicted that postpartum comfort will increase in the postpartum postpartum, whose pain decreases with postpartum heat application and intestinal mobility returns to normal. The aim of this study is to determine the effect of applying heat to the feet after cesarean section on postpartum comfort, pain and gas output.

Eligibility criteria: Inclusion Criteria:

* over 18 years old
* Can read and understand Turkish
* No history of any medical illness
* Singular pregnancy
* No complications during or after surgery
* Those who have not had any problems during pregnancy
* giving birth to a live baby
* No diagnosed psychological disorder
* Women who do not pass gas before applying heat

Exclusion Criteria:

* From gas before hot application
* Hearing loss
* The baby is in intensive care
* Women with vascular diseases
* Women who were taken to the intensive care unit after surgery due to any complications

Primary outcomes:
measure: Introductory Information Form
timeFrame: at the beginning of the study
measure: Post Cesarean Section Follow-up Form-First follow up
timeFrame: application after 30 minute
measure: Post Cesarean Section Follow-up Form-Second follow up
timeFrame: application after 60 minute
measure: Post Cesarean Section Follow-up Form-Third follow up
timeFrame: application after 120 minute
Secondary outcomes:
measure: Visual Pain Scale (VAS)-First follow up
timeFrame: application after 30 minute
measure: Visual Pain Scale (VAS)-Second follow up
timeFrame: application after 60 minute
measure: Visual Pain Scale (VAS)-Third follow up
timeFrame: application after 120 minute
measure: Postpartum Comfort Scale-First follow up
timeFrame: application after 30 minute
measure: Postpartum Comfort Scale -Second follow up
timeFrame: application after 60 minute
measure: Postpartum Comfort Scale -Third follow up
timeFrame: application after 120 minute
Other outcomes:
Locations:
city: Konya
country: Turkey
facility: Dr. Ali Kemal Belviranlı Gynecology and Pediatrics Hospital
Study officials:
References:
citation: Büyükkayacı Duman N, Karataş N. Sezaryen Sonrası Erken Taburcu Olan Kadınlara Verilen Evde Bakım Hizmetinin Anne Sağlığına Ve Öz Bakım Gücüne Etkisi. Sağlık Bil Derg 2011, 20(1):54-67.
citation: Ciardulli A, Saccone G, Di Mascio D, Caissutti C, Berghella V. Chewing gum improves postoperative recovery of gastrointestinal function after cesarean delivery: a systematic review and meta-analysis of randomized trials. J Matern Fetal Neonatal Med. 2018 Jul;31(14):1924-1932. doi: 10.1080/14767058.2017.1330883. Epub 2017 Jun 6.
citation: Sutton CD, Carvalho B. Optimal Pain Management After Cesarean Delivery. Anesthesiol Clin. 2017 Mar;35(1):107-124. doi: 10.1016/j.anclin.2016.09.010. Epub 2016 Dec 12.
citation: Sell SE, Beresford PC, Dias HHZR, Garcia ORZ, Santos EKA. Looks and knowledge: experiences of mothers and nursing staff regarding post-caesarean section pain. Text Context Nurs., 2012, 21(4): 766-74.