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Hydrocortisone cream to reduce perineal pain after vaginal birth / Manfre, Margaret in MCN, Vol.40 No.5 (Sep-Oct) 2015 ([01/24/2016]) 

Public ISBD No review available on this record. [article]  inMCN > Vol.40 No.5 (Sep-Oct) 2015 [01/24/2016] . - p. 306-312 Title : Hydrocortisone cream to reduce perineal pain after vaginal birth : A randomized controlled trial Material Type: printed text Authors: Manfre, Margaret, Author ; Adams, Donita, Author ; Callahan, Gloria, Author Publication Date: 2016 Article on page: p. 306-312 Languages : English (eng) Keywords: Hydrocortisone cream: Perineal pain postpartum: Randomized controlled trial, Visual analog scale. Abstract: Purpose To determine if the use of hydrocortisone decreases perineal cream pain in the immediate postpartum period. Study Design and Methods: This was a randomized controlled trial(RCT, crossover study design, with each participant serving as their own control Participants received th different methods for perineal pain management at three sequential perineal pain treatments after birth two topical creams(corticosteroid placebo and a control treatment(no cream application). Treatment order was randomly assigned, with participants and investigators blinded to cream type. The primary dependent variable was the change in perineal pain levels(posttest minus pretest pain levels immediately before and 30 minutes after perineal pain treatments. Data were analyzed with analysis of variance, with p <0.05 considered significant treatments over a 12-hour Results: A tal of 27 participants completed all three perineal pain period. A reduction in pain was found after application of both the topical creams, with average ain change scores of-4.8 84 mm after treatment with hydrocortisone cream(N 27) perineal and-6.7: 130 mm after treatment with the placebo cream(N 27 changes in pain scores with no cream application were 1.2 10.5 mm(NE 27.Analysis of variance found a significant difference between treatment groups(F 3,6, p 0.03), with both cream treatments having significantly better pain reduction than the control, no cream treatment(hydrocortisone vs no cream, p 0.04 placebo cream vs no cream, p 0.01). There were no differences in perineal pain reduction between the two cream treatments(p.54) Clinical Implications: This RCT found that the application of either hydrocortisone cream or placebo cream provided significantly better pain relief than no cream application. Link for e-copy: ้http://www.lww.com Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=25303 [article] Hydrocortisone cream to reduce perineal pain after vaginal birth : A randomized controlled trial [printed text] / Manfre, Margaret, Author ; Adams, Donita, Author ; Callahan, Gloria, Author . - 2016 . - p. 306-312. Languages : English (eng) inMCN > Vol.40 No.5 (Sep-Oct) 2015 [01/24/2016] . - p. 306-312 Keywords: Hydrocortisone cream: Perineal pain postpartum: Randomized controlled trial, Visual analog scale. Abstract: Purpose To determine if the use of hydrocortisone decreases perineal cream pain in the immediate postpartum period. Study Design and Methods: This was a randomized controlled trial(RCT, crossover study design, with each participant serving as their own control Participants received th different methods for perineal pain management at three sequential perineal pain treatments after birth two topical creams(corticosteroid placebo and a control treatment(no cream application). Treatment order was randomly assigned, with participants and investigators blinded to cream type. The primary dependent variable was the change in perineal pain levels(posttest minus pretest pain levels immediately before and 30 minutes after perineal pain treatments. Data were analyzed with analysis of variance, with p <0.05 considered significant treatments over a 12-hour Results: A tal of 27 participants completed all three perineal pain period. A reduction in pain was found after application of both the topical creams, with average ain change scores of-4.8 84 mm after treatment with hydrocortisone cream(N 27) perineal and-6.7: 130 mm after treatment with the placebo cream(N 27 changes in pain scores with no cream application were 1.2 10.5 mm(NE 27.Analysis of variance found a significant difference between treatment groups(F 3,6, p 0.03), with both cream treatments having significantly better pain reduction than the control, no cream treatment(hydrocortisone vs no cream, p 0.04 placebo cream vs no cream, p 0.01). There were no differences in perineal pain reduction between the two cream treatments(p.54) Clinical Implications: This RCT found that the application of either hydrocortisone cream or placebo cream provided significantly better pain relief than no cream application. Link for e-copy: ้http://www.lww.com Record link: http://libsearch.siu.ac.th/siu/opac_css/index.php?lvl=notice_display&id=25303