alexa Effect of Therapeutic Ultrasound and Maternal Cooling G
ISSN: 2167-0420

Journal of Womens Health Care
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Research Article

Effect of Therapeutic Ultrasound and Maternal Cooling Gel Pad for Perineal Pain Following Vaginal Delivery with Episiotomy

Arati Mahishale1*, Ashwini Chougala1 and Shobhana Patted2

1Institute of Physiotherapy, KLE University, Belgaum, Karnataka, India

2Department of OBG, KLE University, Belgaum, Karnataka, India

*Corresponding Author:
Arati Mahishale
Assistant Professor
Institute of Physiotherapy
KLE University, Belgaum
Karnataka, India
E-mail: [email protected]

Received June 28, 2013; Accepted August 26, 2013; Published August 28, 2013

Citation: Mahishale A, Chougala A, Patted S (2013) Effect of Therapeutic Ultrasound and Maternal Cooling Gel Pad for Perineal Pain Following Vaginal Delivery with Episiotomy. J Women’s Health Care 2:128. doi:10.4172/2167-0420.1000128

Copyright: © 2013 Mahishale A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Background and objectives: About 70% of women suffer trauma with or without episiotomy to the perineum during vaginal delivery and this commonly causes pain and discomfort which may persist for months postpartum. The present study was aimed to evaluate the effectiveness of therapeutic ultrasound and cooling maternal gel pads for perineal pain following vaginal delivery.

Materials and methods: After obtaining ethical clearance from Institutional Ethical Committee, 30 women who underwent vaginal delivery with episiotomy and complained of perineal pain were recruited and randomly allocated to control (n-15) and interventional group (n-15). A written informed consent was signed by all the participants. Physiotherapy intervention included therapeutic ultrasound, cooling maternal gel pad for experimental group and placebo therapeutic ultrasound for control group twice daily for a period of 3 days. Outcome measures included Visual Analog Scale (VAS) for pain measurement and REEDA (Redness, Edema, Ecchymoisis, Discharge, Approximation) scale for healing process, which were documented on 1st day pre intervention and 3rd day post intervention respectively.

Results: The results showed statistically significant reduction in VAS and REEDA scores in experimental groups with p=0.02.

Conclusion: Therapeutic ultrasound and maternal cooling gel pad proved to be effective in reducing perineal pain following vaginal delivery with episiotomy.


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