Cold Therapy for Pain Control Following Caesarean Section
| Status: | Suspended |
|---|---|
| Conditions: | Post-Surgical Pain |
| Therapuetic Areas: | Musculoskeletal |
| Healthy: | No |
| Age Range: | 16 - 43 |
| Updated: | 10/21/2018 |
| Start Date: | December 2015 |
| End Date: | December 2019 |
Cold Therapy for Pain Control Following Caesarean Section at Erlanger Baroness Hospital
Cold Therapy has been used for a variety of procedures and has been studied in several but
not recently studied for reducing postop pain following Caesarean Sections. The hypothesis is
that Cold Therapy will reduce postop pain and increase patients mobility and improve care of
her newborn.
not recently studied for reducing postop pain following Caesarean Sections. The hypothesis is
that Cold Therapy will reduce postop pain and increase patients mobility and improve care of
her newborn.
Cesarean Section (C/S) is one of the most commonly performed surgeries in many parts of the
world. In the United States the C/S rate in 1965 was 4.5% and increased to 30.5% in 2010.
While the number of C/S has increased, pain management has primarily been via epidural,
spinal, local and general anesthesia and narcotic medication for the immediate postpartum
period (pp). This has lead to an increase in associated cost and problems with pain
management. Limited studies have been performed to evaluate cold compresses on pain relief in
the immediate pp and there potential to reduce cost. Cold Therapy (CT) is most often utilized
in orthopedics, sports medicine, and in general surgery. CT has been used to improve range of
motion (rom) and reduce pain medication utilization. We surmise CT may be useful in
decreasing narcotic utilization after C/S, as well as improve mobility and allow for improved
care of the newborn. This is significant as Erlanger Baroness Hospital (EBH) is becoming Baby
Friendly (BF). This is a National Initiative for Children's Healthcare Quality (NICHQ) which
desires having babies rooming in with their mothers and increasing breastfeeding rates. The
goal of this study is to evaluate a newer sterile delivery system for decreasing pp pain via
CT. This will be done as a Randomized Controlled Trial (RCT).
world. In the United States the C/S rate in 1965 was 4.5% and increased to 30.5% in 2010.
While the number of C/S has increased, pain management has primarily been via epidural,
spinal, local and general anesthesia and narcotic medication for the immediate postpartum
period (pp). This has lead to an increase in associated cost and problems with pain
management. Limited studies have been performed to evaluate cold compresses on pain relief in
the immediate pp and there potential to reduce cost. Cold Therapy (CT) is most often utilized
in orthopedics, sports medicine, and in general surgery. CT has been used to improve range of
motion (rom) and reduce pain medication utilization. We surmise CT may be useful in
decreasing narcotic utilization after C/S, as well as improve mobility and allow for improved
care of the newborn. This is significant as Erlanger Baroness Hospital (EBH) is becoming Baby
Friendly (BF). This is a National Initiative for Children's Healthcare Quality (NICHQ) which
desires having babies rooming in with their mothers and increasing breastfeeding rates. The
goal of this study is to evaluate a newer sterile delivery system for decreasing pp pain via
CT. This will be done as a Randomized Controlled Trial (RCT).
Inclusion Criteria:
- greater than 36 weeks gestation
- primary C/S with Epidural for labor problems or breech presentation
- Repeat C/S with spinal
Exclusion Criteria:
- less than 36.0 week gestations
- vertical skin incisions
- classical or vertical hysterotomy incisions
- failed vaginal births after C/S (VBAC)
- past history of drug or alcohol abuse
- positive drug screens unless medical prescribed drugs
- general anesthesia
- Caesarean Hysterectomy
- primary C/S with spinal anesthesia
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