Efficacy of Class IV Laser on Post Cesarean Section: A Feasibility Trial

Abstract

Cesarean section is the consistently used surgical process for life sustaining of both mother and neonates witha prevalence around 53 % in India. Pain, delayed incisional wound healing, sepsis and difficulty of daily lifeactivities are very common complication after cesarean section. This study aims to assess the feasibility of classIV LASER to improve pain, wound healing and quality of life among female underwent cesarean section. Inthis feasibility trial 12 females who underwent cesarean section were recruited after screening in accordance toselection criteria and obtained their consent. The selected participants were divided into two groups (Experimental& Control group) by block randomization. The participants in Experimental group were treated with class IVLASER therapy along with conventional chest physiotherapy management, while the participants in controlgroup were treated with TENS along with conventional chest physiotherapy management. The mean age of theparticipants was 24.92±3.450. A statistically significant difference was found in both the experimental and controlgroup among pain, wound healing and quality of life during within group analysis. However, experimental groupshows significant difference among VAS (p=0.02), REEDA scale (p=.002) and four domains of SF 36 i.e.PF(p=0.004) EF (p=0.009) EHP (p=0.009) P (p=0.004) than the control group during between group analysis. Itconcludes that Class IV LASER is feasible and effective to improve pain, wound healing and quality of lifeamong females underwent cesarian section.