A study to assess use of abdominal binder after cesarean section on maternal comfort and functional outcome

Not yet recruiting

Conditions: Other complications of obstetric surgery and procedures, (2) ICD-10 Condition: O754||Other complications of obstetric surgery and procedures,

Registration Number: CTRI/2022/05/042690

Lead Sponsor: PGIMER

Brief Summary: **Introduction and need:** According to WHO report the incidence of cesarean section rate in worldwide is from 15-20%. The maternal mortality after cesarean section is always greater than after vaginal delivery. Indian data reflect increase in cesarean section delivery rates similar to those observed in the rest of the world. A cesarean section can make it less likely that a women will initiate breastfeeding , more likely will stop within month. Physiological changes and abdominal pain raise due to increase in difficulty to establish breastfeeding. Pain control is a major concern after cesarean section because the intense nature of pain interfere with the womenâ€™s ability to move and initiate breast feeding. A growing body of evidence suggest that using multimodal strategies like optimal pain relief, stress reduction and mobilization to implement an enhanced recovery after surgery (ERAS) clinical pathway can speed recovery and reduce length of stay for patients undergoing cesarean section. women who had a cesarean section should receive functional assessments, monitoring and support as part of their post partum care. To recover functioning following a cesarean section effective risk- mitigation intervention should be done, especially for those who are enduring longer surgical procedure. While surgical patients have typically been encouraged to splint the incision with their hands or pillow, any relief provided with these techniques is temporary and unlikely to sustain relief. therefore abdominal binder has important implication for such type of postoperative care. the purpose of present study , therefore is to investigate the effect of incision support using abdominal binder on maternal comfort and functional outcome. As a result concept of enhanced recovery after surgery which more widely embrace around the world has not been introduced in the gynecological surgeries where the abdominal binder can be one of the incision supportive device for optimum postnatal care.

**Objectives**:

1. To develop and implement a protocol on use of abdominal binder after cesarean section among women admitted in obstetric units of PGIMER, Chandigarh

2. To assess the effectiveness of abdominal binder use after cesarean section on maternal comfort and functional outcomes among women admitted in obstetric units of PGIEMR, Chandigarh

**Protocol of application of abdominal binder after cesarean section**: A protocol on application of abdominal binder will be conducted during the study during intervention phase. The protocol will be prepared in the form of booklet. the booklet contain all the information regarding procedure to use abdominal binder after cesarean section

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: Female

Target Recruitment: 132

Inclusion Criteria

1.Post Cesarean Section women with spinal anaesthesia 2.Those who are willing participate in the study.

Exclusion Criteria

â€¢Women with cardiopulmonary, neuromuscular and mental disorders.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcomes will be numeric pain rating scale-assessing pain, symptom distress scale (SDS)-assessing distress	primary outcome will be post ceasarean pain and distress and will be assessed at post ceasarean 8hr, 24 hr, 48hr, at the time of discharge and 1st follow-up

Secondary Outcome Measures

Name	Time	Method
Secondary outcome will be functional outcome including mobolization assessed by 6minute walk test, self care activities assessed by barthal index scale and maternal satisfaction scale

Trial Locations

Locations (1): PGIMER ChANDIGARH
🇮🇳
Chandigarh, CHANDIGARH, India
PGIMER ChANDIGARH
🇮🇳Chandigarh, CHANDIGARH, India
NEETA DEVI
Principal investigator
7973900492
neetachoudhary797@gmail.com