Do Elastic Abdominal Binders Reduce Post Operative Pain and Blood Loss?

Status:	Completed
Conditions:	Chronic Pain, Post-Surgical Pain, Women's Studies
Therapuetic Areas:	Musculoskeletal, Reproductive
Healthy:	No
Age Range:	18 - 39
Updated:	4/21/2016
Start Date:	February 2013
End Date:	May 2014

This is a pilot study investigating the use of abdominal binders after cesarean sections.
The researchers are testing whether elastic abdominal binders improve postoperative pain
control and reduce postoperative blood loss. Blood loss and pain control are both concerns
after giving birth. It is hoped that the use of an abdominal binder after giving birth will
provide a non-pharmacologic way to to reduce blood loss and manage pain.

Inclusion Criteria:

- Cesarean section at term (at least 39 weeks gestation) scheduled in advance

- Singleton gestation confirmed by ultrasound in the current pregnancy

- Body mass index 20-40 kg/m2 (at first prenatal visit or pre-pregnancy)

- None of these pregnancy complications in the current pregnancy:

1. bleeding disorder or use of anticoagulants other than low-dose heparin

2. abnormal placenta (placenta previa or accrete)

3. Preoperative hemoglobin less than 10 mg/dL

4. Chorioamnionitis (intrauterine infection)

- No chronic pain syndrome (defined as participating in formal chronic pain management
within the past year)

- Able to read English and understand spoken English

Exclusion Criteria:

- Onset of labor prior to time when the cesarean was scheduled

- Complications during performance of cesarean or discovered during cesarean:

1. placenta accreta, increta, or percreta

2. vasa previa

3. cesarean hysterectomy required for severe hemorrhage

4. organ damage during cesarean (cystotomy, enterotomy, ureteral injury)

We found this trial at

sites

Kansas School of Medicine-Wichita

Wichita, Kansas 67214

from

Wichita, KS