Do Elastic Abdominal Binders Reduce Postoperative Pain and XXXX ?: A Randomized Controlled Trial [146].

@entity1 @entity158 @entity190 @entity548
INTRODUCTION: @entity1 delivered by cesarean are a unique subset of postoperative @entity1 with possible complications that include postpartum @entity548 and @entity158 . A potential nonpharmacologic way to reduce these complications is with an abdominal binder: a soft, elastic band that can provide circumferential compression on the wound. METHODS: @entity1 scheduled for cesarean delivery were randomized to receive a binder or to a control group (no binder). @entity158 levels were reported by questionnaire 1 day after surgery using a 0-10 scale. @entity1 characteristics and @entity190 were assessed by medical record review. An intention-to-treat analysis was conducted despite the fact that four @entity1 in the control group received a binder. RESULTS: Of the 56 @entity1 completing the study, 29 (51.8%) were randomized to the binder group and 27 (48.2%) were randomized to the control group. Indications for cesarean delivery were previous cesarean delivery (n=50, 89.3%) or breech presentation (n=6, 10.7%). Most @entity1 received an epidural (n=55, 98.2%). There was no difference in body mass index, age, previous surgery, neonatal birth weight, or estimated @entity190 between randomization groups. @entity158 score (1.66 compared with 2.56 for the binder and control groups, respectively, P=.019) and average @entity158 score (3.45 compared with 4.48 for the binder and control groups, respectively, P=.024) were significantly lower in the treatment group. There was no difference in preoperative and postoperative hemoglobin levels by treatment group. CONCLUSION: Abdominal binders improved @entity158 scores but did not affect postoperative @entity548 . As a result of the small sample size, further confirmation of these outcomes is desirable.
