Details

Autor(en) / Beteiligte

• Fadlalmola, Hammad
• Abdelmalik, Mohammed A.
• Masaad, Huda K.H.
• Abdalla, Adel M.
• Mohammaed, Mohammaed O.
• Abbakr, Ibrahim
• Mohammed, Almoez M.
• Saeed, Abdalrahman A.
• Beraima, Mohamed A.
• Sambu, Binyameen M.
• Osman, Abdalla MA
• Elhusein, Amal M.
• Habiballa, Mohammed
• Yousef, Huda
• Hamid, Hawa
• Ali, Anwar
• Ahmed, Nasreldeen
• Banaga, Amel
• Omer, Rasha

Titel

Efficacy of warm compresses in preserving perineal integrity and decreasing pain during normal labor: A systematic review and meta-Analysis

Ist Teil von

• African journal of reproductive health, 2023-04, Vol.27 (4), p.96-123

Ort / Verlag

Benin City: Women's Health and Action Research Centre (WHARC)

Erscheinungsjahr

2023

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• The objective of the study was to assess the effect of warm compresses in preserving perineal integrity in women who delivered a single baby vaginally with cephalic presentation. We searched PubMed, Scopus, and the ISI Web of Science databases. Two researchers worked independently and conducted the study’s search, selection, and extraction. We calculated the pooled risk ratio (R.R.)- for our categorical outcomes- and mean difference (M.D.)-for our continuous outcomes- using random or fixed-effect meta-analysis according to heterogenicity status. I2 test was used to detect heterogenicity. Studies were assessed for methodological quality using the Cochrane risk of bias assessment tool. Our study analyzed 13 controlled trials (n= 3947) to compare warm compresses versus not using it during vaginal delivery. The analysis revealed that warm compresses group had better outcomes regarding episiotomy, degree of perineal trauma (third and fourth degree), perineal trauma requiring suturing, and also in behavioral pain scales (severe muscle tense, being very restless, and constant grimacing) with the following R.R. and confidence intervals: (R.R.= 0.56, 95% C.I.[0.23, 1.37]), (R.R.= 0.69, 95% C.I.[0.54, 0.89], p= 0.004),((R.R.= 0.37, 95% C.I.[0.18, 0.77], p= 0.004), and ((R.R.= 0.42, 95% C.I.[0.23, 0.78], p= 0.006) respectively. We conclude that among primiparous women, warm compresses group showed better outcome in improving perineal comfort than a the good of women who did not receive warm compresses after delivery.