The Eurasian Journal of Medicine
Original Article

Influence of Abdominal Binder Usage after Cesarean Delivery on Postoperative Mobilization, Pain and Distress: A Randomized Controlled Trial

1.

Department of Gynecology and Obstetrics, Health Sciences University, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey

2.

Department of Gynecology and Obstetrics, Kutahya Health Sciences University, School of Medicine, Kutahya, Turkey

3.

Department of Gynecology and Obstetrics, Health Sciences University, İstanbul Kanuni Sultan Suleyman Training and Research Hospital, İstanbul, Turkey

Eurasian J Med 2019; 51: 214-218
DOI: 10.5152/eurasianjmed.2019.18457
Read: 334 Downloads: 120 Published: 16 October 2019

Objective: The purpose of the present study was to determine the effect of abdominal binder usage on mobilization, postoperative pain, and distress after cesarean delivery.
 

Materials and Methods: This prospective randomized controlled study was conducted between September 1, 2017 and January 31, 2018 at Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey. A total of 89 women undergoing elective cesarean were randomized to the study (binder, n=45) or control (no binder, n=44) groups. Patients in the study group were fitted with a binder before leaving the operating room. Mobilization (6-minute walk test), postoperative pain (measured by Short-Form McGill Pain Questionnaire and Visual Analog Scale), and perceived distress status of both groups were evaluated within 8th (first mobilization time), 24th, and 48th h of surgery.
 

Results: We found that the binder group (BG) walked longer than the control group during the 6-minute walking distance test. At the first mobilization time (postoperative 8th h), the BG (99.4±27.3 m) covered significantly more distance than the control group (81.0±22.2 m) (p=0.001) in the walking distance test. At postoperative 24th h, the McGill pain score in the BG was significantly lower than that in the control group (p=0.004). For all three test times, the Symptom Distress Scale of the BG was lower than that of the control group (postoperative 8th h p=0.024, 24th h p<0.001, and 48th h p<0.001).
 

Conclusion: The evidence is consistent with abdominal binder usage after cesarean section decreasing the feeling of distress and increasing mobility.

 

Cite this article as: Karaca I, Ozturk M, Alay I, et al. Influence of Abdominal Binder Usage after Cesarean Delivery on Postoperative Mobilization, Pain, and Distress: A Randomized Controlled Trial. Eurasian J Med 2019; 51(3): 214-8.

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ISSN1308-8734 EISSN 1308-8742