The Effect of Hot Bag/Warm Application on Feet After Cesarean Delivery on Postpartum Comfort, Pain and Flatus

NCT ID: NCT05312515

Last Updated: 2025-01-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 108 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-04-01
• Study Completion Date: 2023-12-30

Brief Summary

The postpartum period is a process in which both physical (bleeding, infection, anemia) and emotional (delay in breastfeeding and mother-baby relationship) problems occur in women. Among the conditions that physically affect the woman who has had a cesarean section, a decrease in bowel movements is often seen and this decrease can last for 24 hours or longer. Initiation of bowel movements after surgery, time of first flatulence and defecation are important factors that determine postoperative patient comfort.

Detailed Description

Pain after cesarean section is usually associated with incision site and uterine contractions. There are various medical treatment and midwifery applications for the resolution of pain and gas output after cesarean section. Recently, it has been stated that in addition to the treatments applied after surgery, non-drug methods should be used to increase the effectiveness of recovery. These methods include applications such as hot application, abdominal massage, music therapy, chewing gum. The effect of hot application in patients with post-operative gas problems is the acupuncture points of the foot, warm and moist heat stimulation and the small intestine, colon, anus and other reflective areas. activates blood circulation. It is predicted that postpartum comfort will increase in the postpartum postpartum, whose pain decreases with postpartum heat application and intestinal mobility returns to normal. The aim of this study is to determine the effect of applying heat to the feet after cesarean section on postpartum comfort, pain and gas output.

Conditions

Cesarean Section Complications; Pain; Postpartum Anxiety

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: TRIPLE

Study Groups

Warm Application to Feet and Follow-up After Cesarean Section

Warm application will be applied to the feet of women who come to the surgical service after cesarean delivery, 3 hours after they are admitted to the service. For hot application, a hot water bag will be used, the temperature of the water to be placed in the hot water bag is max. It will be set by the researcher to be 44°C. Since the temperature of the water (max. 44°C) does not create a risk of burns, no additional precautions were required. A stopwatch clock will be used to track the duration of the application. After the application will be done for 30 minutes, a hot water bag will be taken. Hot application will be done once. During the application, the researcher will be with the women, will check whether any complications have developed, and if complications or discomfort develop, the application will be terminated.

Group Type: EXPERIMENTAL

Warm Application to Feet

Intervention Type: OTHER

Warm Application to Feet after Cesarean Section

Control

The control group will be given routine post-operative care without any intervention and data collection tools will be applied at the same time as the intervention group. In addition, the patient and his family will be informed to write it down with the watch if there is gas after the procedure when the researcher is not with them.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Warm Application to Feet

Warm Application to Feet after Cesarean Section

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• over 18 years old
• Can read and understand Turkish
• No history of any medical illness
• Singular pregnancy
• No complications during or after surgery
• Those who have not had any problems during pregnancy
• giving birth to a live baby
• No diagnosed psychological disorder
• Women who do not pass gas before applying heat

Exclusion Criteria

• From gas before hot application
• Hearing loss
• The baby is in intensive care
• Women with vascular diseases
• Women who were taken to the intensive care unit after surgery due to any complications

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Selcuk University

OTHER

Sponsor Role: lead

Responsible Party

Yasemin ERKAL AKSOY

Asistant Prof. Dr.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Dr. Ali Kemal Belviranlı Gynecology and Pediatrics Hospital

Konya, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Büyükkayacı Duman N, Karataş N. Sezaryen Sonrası Erken Taburcu Olan Kadınlara Verilen Evde Bakım Hizmetinin Anne Sağlığına Ve Öz Bakım Gücüne Etkisi. Sağlık Bil Derg 2011, 20(1):54-67.

Reference Type: BACKGROUND

Ciardulli A, Saccone G, Di Mascio D, Caissutti C, Berghella V. Chewing gum improves postoperative recovery of gastrointestinal function after cesarean delivery: a systematic review and meta-analysis of randomized trials. J Matern Fetal Neonatal Med. 2018 Jul;31(14):1924-1932. doi: 10.1080/14767058.2017.1330883. Epub 2017 Jun 6.

Reference Type: BACKGROUND

PMID: 28502203 (View on PubMed)

Sutton CD, Carvalho B. Optimal Pain Management After Cesarean Delivery. Anesthesiol Clin. 2017 Mar;35(1):107-124. doi: 10.1016/j.anclin.2016.09.010. Epub 2016 Dec 12.

Reference Type: BACKGROUND

PMID: 28131114 (View on PubMed)

Sell SE, Beresford PC, Dias HHZR, Garcia ORZ, Santos EKA. Looks and knowledge: experiences of mothers and nursing staff regarding post-caesarean section pain. Text Context Nurs., 2012, 21(4): 766-74.

Reference Type: RESULT

Other Identifiers

0000-0002-7453-1205

Identifier Type: -

Identifier Source: org_study_id