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The effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta‐analysis of randomized controlled trials
Author(s) -
AbdElGawad Mohamed,
Said Ali Ahmed,
Abdelmonem Mohamed,
Elshamy Norihan H.,
Abdeltawab Ahmed K.,
Abd elShafea Mahmoud,
Rund Nancy M. A.,
Fadlalmola Hammad A.,
Ashour Ahmed S. A.,
Almohamady Maged
Publication year - 2021
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.13607
Subject(s) - medicine , randomized controlled trial , confidence interval , abdominal pain , caesarean section , distress , meta analysis , anesthesia , fetal distress , pregnancy , surgery , fetus , clinical psychology , biology , genetics
Background Abdominal binder is a non‐pharmacological method of relieving pain after surgical procedures. Objectives To evaluate the effectiveness of the abdominal binder in relieving pain and distress scores after cesarean delivery (CD). Search strategy The following terms were searched: cesarean section, cesarean, caesarean, abdominal deliveries, C‐section, abdominal delivery, abdominal binding, binder, and abdominal binder. Selection criteria Randomized controlled trials (RCTs) with patients undergoing CD receiving an abdominal binder compared with non‐users of the abdominal binder. Data collection and analysis Five electronic databases were searched until November 2019. Records were screened for eligibility. Data were extracted independently and analyzed. The main outcomes were pain and distress scores. Results The final analysis included six RCTs. Overall effect estimate favored the abdominal binder group over the control group in the following outcomes: VAS pain scores after 24 h (mean difference [MD] −1.76; 95% confidence interval [CI] −3.14 to −0.39; P = 0.01), VAS scores after 48 h (MD −1.21; 95% CI −1.51 to −0.90; P < 0.001), distress score after 24 h (MD −1.87; 95% CI −3.01 to −0.73; P = 0.001), and distress score after 48 h (MD −1.87; 95% CI −3.07 to −0.67; P = 0.002). Conclusion The abdominal binder could be an effective, simple, non‐pharmacological option of relieving pain and distress after CD.