Cold Pack Compression to the Lower Abdomen after Childbirth to Reduce Blood Loss in Women Undergoing Vaginal Delivery: A randomized controlled trial

Thai Journal of Obstetrics and Gynaecology

article

Thapanop Thanasomthopchanamon¹  SathidaChantanavilai¹  Patraporn Tangkiratichai¹ 

[1] Department of Obstetrics and Gynecology, Khon Kaen Hospital

关键词: cold pack compression;    vaginal delivery;    blood loss;   

DOI  :  10.14456/tjog.2022.28

学科分类：社会科学、人文和艺术（综合）

来源: The Royal Thai College of Obstetricians and Gynaecologists

【 摘 要 】

Objectives: To determine the efficacy of cold pack compression to the lower abdomen after childbirth until 2 hours postpartum to reduce blood loss. Materials and Methods: Sixty singleton pregnant women who underwent normal delivery at Khon Kaen Hospital between February and June 2020 were randomly allocated to two groups, one receiving cold pack compression to the lower abdomen after childbirth until 2 hours postpartum (n = 30) versus standard vaginal delivery (n = 30). The respective amount of blood loss in both groups was measured from after childbirth until 2 hours postpartum by calculating the total weight of blood from the blood collecting bag and diapers. Additional blood transfusion, adverse events from the cold pack, and the after-pain score were recorded.Results: Baseline characteristics between groups were comparable. Mean blood loss in the cold pack compression group was significantly lower than the standard vaginal delivery group (183.87 ± 76.52 vs. 271.36 ± 103.80 ml, mean difference was -87.50, 95% confidence interval -134.62 to -40.37, p < 0.001). None of the participants in either group experienced postpartum hemorrhage or required blood transfusion. None of the participants in the cold pack compression group experienced any adverse events. There was no statistical difference in the after-pain score between groups.Conclusion: Cold pack compression to the lower abdomen after childbirth until 2 hours postpartum could significantly reduce blood loss compared with standard vaginal delivery without serious adverse events.

【 授权许可】

CC BY-NC-ND