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Influence of delayed umbilical cord clamping on pain during suture of perineal tears: A randomised controlled study
Author(s) -
Li Yue,
Zou Yun,
Han Cuicun,
Liu Xiaowei,
Jiang Mei
Publication year - 2020
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.15421
Subject(s) - medicine , umbilical cord , randomized controlled trial , anesthesia , statistical significance , visual analogue scale , obstetrics , pregnancy , tears , physical therapy , surgery , genetics , biology , anatomy
Objective This study investigated whether the delayed umbilical cord clamping can influence the pain during suturing perineal tears. Design This randomised controlled study applied the Consolidated Standards of Reporting Trials statement. Methods The sample comprised 288 pregnant women who gave birth through vaginal delivery in our hospital from November 2019 to December 2019. They were randomly divided into 2 groups—early umbilical cord clamping ( n = 147) and delayed umbilical cord clamping ( n = 141)—without severe pregnancy complications. There was no intrauterine infection, neonatal asphyxia or premature birth in the 288 newborns. The pain scores of the Numerical Rating Scale, Visual Analogue Scale, Verbal Rating Scale and Faces Pain Scale‐Revised were used as indicators to evaluate the mothers’ pain. The Mann–Whitney U test was used, and the statistical significance was set to p < .05. Result All indicators suggest that perineal suture pain of delayed umbilical cord clamping was lower than that of the control group. For the experience group, the perception of pain for the mothers who received analgesia was less than that for those who did not. For the control group, the Verbal Rating Scale suggests a statistical difference in suturing pain between acceptable and unacceptable labour analgesia. The degree of cooperation of the experience group was higher than that of the control group, but labour analgesia did not affect cooperation degree in both groups. Conclusion Delayed umbilical cord clamping can alleviate maternal pain when suturing perineal tears and improve the delivery experience. Labour analgesia can enhance the pain relief effect. Trial registration was performed on www.chictr.org.cn (ChiCTR1900026797). Relevance to clinical practice As a part of perinatal nursing, delayed umbilical cord clamping can help alleviate the pain of perineal suture and improve the experience of parturient. The method is simple and can be used as a routine nursing operation.