Influence of delayed umbilical cord clamping on pain during suture of perineal tears : A randomised controlled study

© 2020 John Wiley & Sons Ltd..

OBJECTIVE: This study investigated whether the delayed umbilical cord clamping can influence the pain during suturing perineal tears.

DESIGN: This randomised controlled study applied the Consolidated Standards of Reporting Trials statement.

METHODS: The sample comprised 288 pregnant women who gave birth through vaginal delivery in our hospital from November 2019 to December 2019. They were randomly divided into 2 groups-early umbilical cord clamping (n = 147) and delayed umbilical cord clamping (n = 141)-without severe pregnancy complications. There was no intrauterine infection, neonatal asphyxia or premature birth in the 288 newborns. The pain scores of the Numerical Rating Scale, Visual Analogue Scale, Verbal Rating Scale and Faces Pain Scale-Revised were used as indicators to evaluate the mothers' pain. The Mann-Whitney U test was used, and the statistical significance was set to p < .05.

RESULT: All indicators suggest that perineal suture pain of delayed umbilical cord clamping was lower than that of the control group. For the experience group, the perception of pain for the mothers who received analgesia was less than that for those who did not. For the control group, the Verbal Rating Scale suggests a statistical difference in suturing pain between acceptable and unacceptable labour analgesia. The degree of cooperation of the experience group was higher than that of the control group, but labour analgesia did not affect cooperation degree in both groups.

CONCLUSION: Delayed umbilical cord clamping can alleviate maternal pain when suturing perineal tears and improve the delivery experience. Labour analgesia can enhance the pain relief effect. Trial registration was performed on www.chictr.org.cn (ChiCTR1900026797).

RELEVANCE TO CLINICAL PRACTICE: As a part of perinatal nursing, delayed umbilical cord clamping can help alleviate the pain of perineal suture and improve the experience of parturient. The method is simple and can be used as a routine nursing operation.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:29

Enthalten in:

Journal of clinical nursing - 29(2020), 21-22 vom: 27. Nov., Seite 3977-3985

Sprache:

Englisch

Beteiligte Personen:

Li, Yue [VerfasserIn]
Zou, Yun [VerfasserIn]
Han, Cuicun [VerfasserIn]
Liu, Xiaowei [VerfasserIn]
Jiang, Mei [VerfasserIn]

Links:

Volltext

Themen:

Delayed umbilical cord clamping
Journal Article
Pain
Perineal tear
Randomized Controlled Trial
Suturing

Anmerkungen:

Date Completed 29.06.2021

Date Revised 29.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/jocn.15421

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312929382