Perineal Analgesia With an Ice Pack After Spontaneous Vaginal Birth: A Randomized Controlled Trial
Version of Record online: 1 MAR 2011
© 2011 by the American College of Nurse-Midwives
Journal of Midwifery & Womens Health
Volume 56, Issue 2, pages 141–146, March/April 2011
How to Cite
Leventhal, L. C., de Oliveira, S. M. J. V., Nobre, M. R. C. and da Silva, F. M. B. (2011), Perineal Analgesia With an Ice Pack After Spontaneous Vaginal Birth: A Randomized Controlled Trial. Journal of Midwifery & Womens Health, 56: 141–146. doi: 10.1111/j.1542-2011.2010.00018.x
- Issue online: 23 MAR 2011
- Version of Record online: 1 MAR 2011
- perineal management;
- perineal trauma;
- postpartum period
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.