The effectiveness of heat patch on afterpain levels during the puerperium

Lailatul Khusnul Rizki; Nur masruroh; Yati Isnaini Safitri

doi:10.15562/bmj.v12i2.4331

The effectiveness of heat patch on afterpain levels during the puerperium

Lailatul Khusnul Rizki ,

Nur masruroh ,

Yati Isnaini Safitri ,

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DOI: https://doi.org/10.15562/bmj.v12i2.4331 |
Published: 2023-06-22

Abstract

Background: Afterpain is the perception of pain, manifested by cramps and heartburn caused by uterine contractions in the postpartum period or puerperium. Afterpain can cause the postpartum period to be less comfortable. This study aimed to evaluate the effectiveness of heat patch on afaterpain levels during the puerperium at PMB Ainun Mufidah.

Methods: This study used an experimental design with a pre-post-test group using postpartum mothers who gave birth at PMB Ainun Mufidah. All samples that matched inclusion criteria were instructed to wear a heat patch by placing it on the abdomen for 8 hours/day and being observed for 3 consecutive days. The pain level assessment was done by a numerical rating of the pain scale before and after the treatment. The data was collected and analyzed using SPSS ver. 20.

Results: 24 postpartum mothers were included in this study, mostly aged 20-35 years. The highest level of afterpain reduction was found on the second postpartum day. The paired t-test showed a significant difference in afterpain levels between pre and post-treatment (p<0,001).

Conclusion: There was a significant difference in afterpain levels before and after giving heat patches to postpartum mothers.

References

Chauhan G, Tadi P. Physiology, Postpartum Changes. In Treasure Island (FL); 2023.
Linzbach A, Nitschke D, Rothaug J, Komann M, Weinmann C, Schleußner E, et al. Peripartal pain perception and pain therapy: introduction and validation of a questionnaire as a quality instrument. Arch Gynecol Obstet. 2022;305(6):1409–19. https://doi.org/10.1007/s00404-021-06246-w
Fahey JO. Best Practices in Management of Postpartum Pain. J Perinat Neonatal Nurs. 2017;31(2):126–36. https://doi.org/10.1097/jpn.0000000000000241
Purnama Y, Dewiani K, Rahmawati S, Yusanti L, Yulyani L. The effectiveness of roll-on aromatherapy of calamansi orange peel essential oil ( Citrofortunella microcarpa ) on reducing anxiety and pain in labor. Bali Med J (Bali Med). 2023;12(1):699–703. https://doi.org/10.15562/bmj.v12i1.4047
Bazzano AN, Stolow JA, Duggal R, Oberhelman RA, Var C. Warming the postpartum body as a form of postnatal care: An ethnographic study of medical injections and traditional health practices in Cambodia. PLoS One. 2020;15(2):e0228529. https://doi.org/10.1371%2Fjournal.pone.0228529
Goswami S, Jelly P, Sharma SK, Negi R, Sharma R. The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis. Eur J midwifery. 2022;6:66. https://doi.org/10.18332%2Fejm%2F156487
Sharifi N, Bahri N, Hadizadeh-Talasaz F, Azizi H, Nezami H, Tohidinik HR. A randomized clinical trial on the effect of foot reflexology performed in the fourth stage of labor on uterine afterpain. BMC Pregnancy Childbirth. 2022;22(1):57. https://doi.org/10.1186/s12884-022-04376-w
Höflich AS, Langer M, Jagsch R, Bäwert A, Winklbaur B, Fischer G, et al. Peripartum pain management in opioid dependent women. Eur J Pain. 2012;16(4):574–84. https://doi.org/10.1016/j.ejpain.2011.08.008
Kyololo OM, Stevens BJ, Songok J. Mothers’ Perceptions about Pain in Hospitalized Newborn Infants in Kenya. J Pediatr Nurs. 2019;47:51–7. https://doi.org/10.1016/j.pedn.2019.04.015
Roma NZH, Essa RM, Rashwan ZI, Ahmed AH. Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women. Obstet Gynecol Int. 2023;2023:9572354. https://doi.org/10.1155%2F2023%2F9572354
Fahami F, Behmanesh F, Valiani M, Ashouri E. Effect of heat therapy on pain severity in primigravida women. Iran J Nurs Midwifery Res. 2011;16(1):113–6.
Türkmen H, Oran NT. Massage and heat application on labor pain and comfort: A quasi-randomized controlled experimental study. EXPLORE. 2021;17(5):438–45. https://doi.org/10.1016/j.explore.2020.08.002

[1] Chauhan G, Tadi P. Physiology, Postpartum Changes. In Treasure Island (FL); 2023.

[2] Linzbach A, Nitschke D, Rothaug J, Komann M, Weinmann C, Schleußner E, et al. Peripartal pain perception and pain therapy: introduction and validation of a questionnaire as a quality instrument. Arch Gynecol Obstet. 2022;305(6):1409–19. https://doi.org/10.1007/s00404-021-06246-w

[3] Fahey JO. Best Practices in Management of Postpartum Pain. J Perinat Neonatal Nurs. 2017;31(2):126–36. https://doi.org/10.1097/jpn.0000000000000241

[4] Purnama Y, Dewiani K, Rahmawati S, Yusanti L, Yulyani L. The effectiveness of roll-on aromatherapy of calamansi orange peel essential oil ( Citrofortunella microcarpa ) on reducing anxiety and pain in labor. Bali Med J (Bali Med). 2023;12(1):699–703. https://doi.org/10.15562/bmj.v12i1.4047

[5] Bazzano AN, Stolow JA, Duggal R, Oberhelman RA, Var C. Warming the postpartum body as a form of postnatal care: An ethnographic study of medical injections and traditional health practices in Cambodia. PLoS One. 2020;15(2):e0228529. https://doi.org/10.1371%2Fjournal.pone.0228529

[6] Goswami S, Jelly P, Sharma SK, Negi R, Sharma R. The effect of heat therapy on pain intensity, duration of labor during first stage among primiparous women and Apgar scores: A systematic review and meta-analysis. Eur J midwifery. 2022;6:66. https://doi.org/10.18332%2Fejm%2F156487

[7] Sharifi N, Bahri N, Hadizadeh-Talasaz F, Azizi H, Nezami H, Tohidinik HR. A randomized clinical trial on the effect of foot reflexology performed in the fourth stage of labor on uterine afterpain. BMC Pregnancy Childbirth. 2022;22(1):57. https://doi.org/10.1186/s12884-022-04376-w

[8] Höflich AS, Langer M, Jagsch R, Bäwert A, Winklbaur B, Fischer G, et al. Peripartum pain management in opioid dependent women. Eur J Pain. 2012;16(4):574–84. https://doi.org/10.1016/j.ejpain.2011.08.008

[9] Kyololo OM, Stevens BJ, Songok J. Mothers’ Perceptions about Pain in Hospitalized Newborn Infants in Kenya. J Pediatr Nurs. 2019;47:51–7. https://doi.org/10.1016/j.pedn.2019.04.015

[10] Roma NZH, Essa RM, Rashwan ZI, Ahmed AH. Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women. Obstet Gynecol Int. 2023;2023:9572354. https://doi.org/10.1155%2F2023%2F9572354

[11] Fahami F, Behmanesh F, Valiani M, Ashouri E. Effect of heat therapy on pain severity in primigravida women. Iran J Nurs Midwifery Res. 2011;16(1):113–6.

[12] Türkmen H, Oran NT. Massage and heat application on labor pain and comfort: A quasi-randomized controlled experimental study. EXPLORE. 2021;17(5):438–45. https://doi.org/10.1016/j.explore.2020.08.002

The effectiveness of heat patch on afterpain levels during the puerperium

Abstract

References

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