Effect of Elastic Abdominal Binder on Post Cesarean Pain, Distress, Mobilization and Women’s Satisfaction

Abstract

Background: Abdominal binder (AB) is one of the most effective non pharmacological method that decreases many adverse events after cesarean deliveries as pain and distress, it can also improve physical function and increase women's satisfaction. Aim of the study: This study aimed to assess the effect of elastic abdominal binder on post cesarean pain, distress, mobilization and women's satisfaction. Subjects and methods: Randomized Control Trial was utilized comparing two groups of intervention (AB) and control group (a routine hospital care). The study was carried out at New General Mansoura hospital specific at inpatient departments, and operative room, Egypt, from September 2019 to March 2020. Data was collected through five tools, A Structured Interview Questionnaire Schedule, the Numerical Rating Scale; Symptom Distress Scale ; 6MWT &women satisfaction likert scale. Results: This study found that there was a highly statistically significant difference about pain score in the 1st 8,24,48 hours after delivery and after one week in the binder group than control group, Also, a highly statistically significant difference in the distress symptoms in the 1st 24 hours and in 48 hours as well as after one week from delivery, the present study reported that there were a highly statistically significant different in the binder group versus the non-binder group related to 6MWT in the 1st 8 hours and on postoperative 24hrs, 48hrs&1 week. Also, women in the binder group were satisfied by using it. Conclusion: this study concluded that using AB after CS had a significantly improvement in the post cesarean pain, lowering distress symptoms & foster mobilization. Also, in early initiation of breast feeding. Recommendations: Increase awareness of women health care providers about positive effect of abdominal binder.