Post Cesarean Pain Relief by Cold Thai Herbal Compress Ball patients Nakhonphanom Hospital

Abstract

Objective: To study the effectiveness of cold Thai herbal compress ball (CCB) for reducing post-operative pain in pregnant women who underwent cesarean delivery in Nakhonphanom Hospital.

Material and methods: This study was a randomized controlled trial comparing the effectiveness CCB for reducing post-operative pain. The inclusion criteria were term pregnant women who were 18 to 40 years old and underwent cesarean delivery. The subjects were randomly divided into study and control groups. The study and control group received Thai compress ball at cold and room temperature after surgery for 6 hours, respectively. Visual analog score (VAS) was used to assess the post-operative pain ranged from 0 to 10. VAS was recorded at 0, 2, 6 and 12 hours postoperatively. Demographic data of parturient, newborn and side effects were also recorded.

Results: A total of 57 cases were recruited. There were 27 and 31 cases in study and control group. Both groups showed no statistical difference in mean age, weight, height, education level, occupation, income, underlying disease, gravida, last child age and indication. Either study or control group showed no significant post-operative pain relief at 0, 2 hours. VAS of study group was significantly lower than control group at 6 and 12 hours. Opioid consumption within 24 hours postoperative in study group was statistically lower than the control group. There was no serious complication in this study.

Conclusion: Cold Thai Herbal Compress Ball can be additive option for management of postoperative pain. In this present study patients who underwent cesarean delivery had reduced their pain scores at 6 and 12 hours after surgery and had reduced the narcotic drugs consumption.