Document Type

Article

Publication Date

2024

Abstract

Objective: To investigate the impact of abdominal binder plus usual care versus usual care alone 26 after spontaneous vaginal delivery on pain severity scores. 27 28 Methods: A prospective randomized study was performed, recruiting patients on a Labor and 29 Delivery unit who were anticipating spontaneous vaginal delivery from 2019 to 2022. Patients 30 were randomly assigned to receive an abdominal binder plus usual care or usual care alone 31 within two hours postpartum. Primary outcomes were patient-reported immediate postpartum 32 pain score and average daily pain scores on days 0 and 1 postpartum (using a scale from 0 to 10, 33 and recorded every 2 hours), and location of pain. Secondary outcomes were use of 34 pharmacologic analgesia and non-pharmacologic methods of pain management. 35 36 Results: Fifty patients received an abdominal binder plus usual care and 50 patients received 37 usual care alone for postpartum pain management. Average pain scores immediately postpartum 38 were elevated in the group who received binders, but not statistically significant compared to the 39 group who received usual care (p = 0.05). Average pain scores on days 0 and 1 postpartum were 40 not significantly different between groups. There were no differences between groups in 41 locations of pain and use of pharmacologic analgesia. 42 43 Conclusion: This study showed no evidence for reduced pain or reduced use of pharmacologic 44 pain interventions with use of an abdominal binder plus usual care after spontaneous vaginal 45 delivery, despite previously studied benefits of binders for antepartum pain control after 46 3 caesarean section. Abdominal binder use did not influence the location of pain reported by 47 patients.

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