|Amniotic Membrane for Pain Control After Cesarean Section|
|Fatemeh Mohseni1, Jalal Saem1, Eghbal Sekhavati2, Zahra Molazem3, Reza Tabrizi4|
|1Anesthesia Department, School of Nursing, Gerash University of Medical Sciences, Gerash, Iran
2Larestan School of Medical Sciences, Larestan, Iran
3Community Based Nursing and Midwifery Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
4Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
CJMB 2018; 5: 198–202
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Keywords : Cesarean section, Postoperative pain, Analgesia, Amniotic membrane
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Objectives: Pain is one of the major problems for patients after cesarean section. The aim of this study was to assess the effect of amniotic membrane as cesarean wound dressing on pain after cesarean section.
Materials and Methods: This study was conducted on 90 pregnant women who underwent cesarean section in Amir-alMomenin hospital, Gerash, Iran. The participants were divided into 2 groups each of 45. The wound was dressed with amniotic membrane in one group and with simple gauze in the other group. Pain was measured and recorded in the 2 groups by visual analogue scale (VAS). The need for receiving analgesics 24 hours after the cesarean section was also assessed and compared between the 2 groups.
Results: The results showed no signifcant difference between the 2 groups regarding the mean pain, 4 and 12 hours after the cesarean section (P=0.308 and P=0.628, respectively). However, a signifcant difference was observed between the 2 groups, in this regard, 24, 36, and 48 hours after the operation (P=0.026, P=0.026, and P=0.004, respectively). Moreover, the patients in the amniotic membrane group needed less analgesics compared to those in the control group 24 hours after cesarean section (P=0.041)
Conclusions: Use of amniotic membrane dressing can be effective in reducing pain after cesarean section and can eliminate the patients’ need for analgesics. Hence, it can be used as an effective complementary method along with usual analgesics for pain relief.
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