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J Midwifery Womens Health. 2011 Mar-Apr;56(2):141-6. doi: 10.1111/j.1542-2011.2010.00018.x. Epub 2011 Mar 1.

Perineal analgesia with an ice pack after spontaneous vaginal birth: a randomized controlled trial.

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1
School of Nursing in Albert Einstein Hospital, Sao Paulo, Brazil.

Abstract

INTRODUCTION:

This study evaluated the effectiveness of an ice pack applied for 20 minutes to alleviate perineal pain after spontaneous vaginal birth.

METHODS:

We conducted a randomized controlled trial at the Amparo Maternal Birth Center in São Paulo, Brazil. Study participants included 114 nulliparous women divided into 3 groups (n = 38 per group): experimental (ice packs on the perineum), placebo (water packs at set temperature), and control (no treatment).

RESULTS:

A numerical scale (0 to 10) was used for pain assessment. A comparison of the average pain at the beginning and after 20 minutes showed a significant reduction of pain (P < .001) in the 3 groups, and the experimental group had a lower average score for pain compared with the control group (1.6 versus 3.3, P = .032).

DISCUSSION:

The use of ice packs for 20 minutes was effective for perineal pain relief after vaginal birth.

[Indexed for MEDLINE]

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