Abstract
Honey is considered as a remedial in the Qur'an. Today, honey is used in wound healing and pain relief. This study was designed to assess the effects of honey gel on postoperative pain and analgesic need after cesarean section. This triple blind randomized clinical trial was conducted on women who underwent cesarean section in Imam Ali Hospital, Iran. Patients were categorized into three groups: drug (37 patients), placebo (38 patients), and control (54 patients) by random allocation. Patients in the drug group received 25% local honey gel, while placebo group received similar gel without honey twice a day for 14 days. No intervention was given in control group. Pain was measured using visual analogue scale on the 7 and 14th day after surgery. Data were analyzed using Chi-square and analysis of variance (ANOVA). The mean pain intensity did not differ significantly between groups on the 1st day, but on the 7th day it was 14.44, 26.41 and 25.73 (P=0.01), and on the 14th day it was 0.27, 5.84 and 4.07 (P=0.02) in the drug, placebo and control groups, respectively. The need for analgesics in the first 10 days was 11.5% in drug group, 62.6% in placebo group and 45.9% in control group which was significantly different (P=0.02). Until the 14th day, no patient needed analgesics in the drug group while 40 and 60% of patients in placebo and control groups required analgesic, which did not show a significant different (P=0.09). Honey gel was effective in cesarean wound pain and in reducing the need for analgesics. Key words: Cesarean section, pain, wound healing, wound infection, honey.
Highlights
Pain is one of the most important problems in postoperative cares which has received a lot of attention in recent years
This study was designed to assess the effects of honey gel on postoperative pain and analgesic need after cesarean section
Mphande et al (2007) in a study compared the effects of honey and sugar ointment on surgical wound healing, and concluded that in the group with honey ointment the surgical wounds were healed in a shorter period of time
Summary
Pain is one of the most important problems in postoperative cares which has received a lot of attention in recent years. One of the most important causes of pain after delivery is cesarean wound pain which is an important concern for most women (Pillitteri, 2003). Cesarean is one of the most important gynecology surgeries, and the most common surgery today (Scott et al, 2002). Women who undergo cesarean section should be able to take care of their infant besides tolerating cesarean wound pain and the postoperative recovering time. They required intensive cares (Pillitteri, 2003; Samadi et al, 2010)
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