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[EFFECTIVENESS OF NOBECUTAN® PLASTIC DRESSING SPRAY IN REDUCING PAIN ASSOCIATED WITH PERINEAL TRAUMA AFTER VAGINAL DELIVERY].

OBJECTIVE
The aim of this study was to compare the difference in perineal pain between women with dressing spray versus no dressing spray applied after perineal repair.


DESIGN
Randomized controlled trial.


SETTING
The Hospital Universitario Fundación Alcorcón, a state hospital belonging to the Community of Madrid.


SAMPLE
The study involved eighty-two nulliparous women, who had undergone vaginal delivery with episiotomy or second-degree perineal laceration.


METHOD
They were randomized. One group was applied the dressing spray directly on the wound (experimental group). The other group was applied the dressing spray on the skin around the wound (control group).


MAIN OUTCOME MEASURES
The participants were questioned regarding the sensation of pain (0-100 scale) in repose and during different activities (such as sitting, walking, urinating and during defecation), and the use of painkillers at 24 and 48 hours postpartum.


RESULTS
Women treated with plastic dressing spray on the wound had less pain at repose, sitting, walking, urinating and during defecation at 24 hours and 48 hours postpartum. Only reached statistical significance the pain in urination at 48 hours. The difference was 9.5 mm (95 %; 1.2 to 17.4) and the effect size (Cohen's d): d = 0.51). The need for analgesia was higher in the control group than in the experimental, but not significant differences being observed. CONCLUSIONS. Findings suggest that Nobecutan® plastic dressing spray can decrease perineal pain in nulliparous women in the first 48 hours after birth.