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type=\u0022text\/css\u0022 rel=\u0022stylesheet\u0022 href=\u0022\/\/d282kpwvnogo5m.cloudfront.net\/sites\/default\/files\/cdn\/css\/http\/css_Xg7z6oCTVgud_Q0huYz9x9iiD5H_2YPSJ5z2ZViSWdY.css\u0022 media=\u0022all\u0022 \/\u003E\n\u003Clink rel=\u0027stylesheet\u0027 type=\u0027text\/css\u0027 href=\u0027\/sites\/all\/modules\/contrib\/panels\/plugins\/layouts\/onecol\/onecol.css\u0027 \/\u003E\u003C\/head\u003E\u003Cbody\u003E\u003Cdiv class=\u0022panels-ajax-tab-panel panels-ajax-tab-panel-sageoa-tab-art\u0022\u003E\u003Cdiv class=\u0022panel-display panel-1col clearfix\u0022 \u003E\n  \u003Cdiv class=\u0022panel-panel panel-col\u0022\u003E\n    \u003Cdiv\u003E\u003Cdiv class=\u0022panel-pane pane-highwire-markup\u0022 \u003E\n  \n      \n  \n  \u003Cdiv class=\u0022pane-content\u0022\u003E\n    \u003Cdiv class=\u0022highwire-markup\u0022\u003E\u003Cdiv xmlns=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022 id=\u0022content-block-markup\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cdiv class=\u0022article fulltext-view \u0022\u003E\u003Cspan class=\u0022highwire-journal-article-marker-start\u0022\u003E\u003C\/span\u003E\u003Cdiv class=\u0022section abstract\u0022 id=\u0022abstract-1\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n            \u003Cp id=\u0022p-1\u0022\u003EAbdominal binders are effective for improving postoperative pain and distress following major abdominal surgery. An abdominal binder is a surgical body garment used in the early postoperative phase to support the abdomen. The use of abdominal binders in women recovering from a cesarean section has never been studied. The purpose of the Use of Abdominal Binders in Patients Undergoing Caesarean Sections randomized, open-label efficacy study (\u003Ca class=\u0022external-ref external-ref-type-clintrialgov\u0022 href=\u0022\/lookup\/external-ref?link_type=CLINTRIALGOV\u0026amp;access_num=NCT02129894\u0026amp;atom=%2Fspmdc%2F14%2F7%2F12.2.atom\u0022\u003ENCT02129894\u003C\/a\u003E) was to evaluate the efficacy of abdominal binders for alleviating postpartum pain and distress following a cesarean section.\u003C\/p\u003E\n         \u003C\/div\u003E\u003Cul class=\u0022kwd-group\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EObstetrics \u0026amp; Gynecology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EPregnancy\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EDiagnostic \u0026amp; Surgical Procedures\u003C\/li\u003E\u003C\/ul\u003E\u003Cul class=\u0022kwd-group clinical-trial\u0022\u003E\u003Cli class=\u0022kwd\u0022\u003EObstetrics \u0026amp; Gynecology Clinical Trials\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EObstetrics \u0026amp; Gynecology\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EPregnancy\u003C\/li\u003E\u003Cli class=\u0022kwd\u0022\u003EDiagnostic \u0026amp; Surgical Procedures\u003C\/li\u003E\u003C\/ul\u003E\u003Cp id=\u0022p-2\u0022\u003EAbdominal binders are effective for improving postoperative pain and distress following major abdominal surgery. An abdominal binder is a surgical body garment used in the early postoperative phase to support the abdomen. The use of abdominal binders in women recovering from a cesarean section has never been studied. The purpose of the Use of Abdominal Binders in Patients Undergoing Caesarean Sections randomized, open-label efficacy study (\u003Ca class=\u0022external-ref external-ref-type-clintrialgov\u0022 href=\u0022\/lookup\/external-ref?link_type=CLINTRIALGOV\u0026amp;access_num=NCT02129894\u0026amp;atom=%2Fspmdc%2F14%2F7%2F12.2.atom\u0022\u003ENCT02129894\u003C\/a\u003E), presented by Jennifer R. Myers, DO, of St. Luke\u0027s University Health Network, Bethlehem, Pennsylvania, USA, was to evaluate the efficacy of abdominal binders for alleviating postpartum pain and distress following a cesarean section.\u003C\/p\u003E\u003Cp id=\u0022p-3\u0022\u003EThe study participants were drawn from the population of all women aged 18 to 50 years who were admitted to the labor and delivery department at 2 hospitals from July 5, 2013, to November 28, 2013. Women who underwent cesarean section and provided informed consent were randomized to receive or not receive an abdominal binder for postsurgical use. On postoperative Days 1 and 2, the women were asked to complete a visual analog scale (VAS) for pain and the validated Symptom Distress Scale (SDS). Postoperative hemoglobin and hematocrit values and pain medication use were recorded. Data analysis was performed using Student\u0027s \u003Cem\u003Et\u003C\/em\u003E test.\u003C\/p\u003E\u003Cp id=\u0022p-4\u0022\u003EA total of 150 women were enrolled in the study. Baseline characteristics were well balanced between the binder and no-binder groups, including age (30.1 and 28.0 years, respectively), gravity (2.6 and 2.6), parity (0.9 and 0.8), number of prior cesarean sections (0.7 and 0.7), gestational age (38.8 and 38.5), and body mass index (34 and 32.5 kg\/m2).\u003C\/p\u003E\u003Cp id=\u0022p-5\u0022\u003EOn postoperative Day 1, VAS scores were 3.0 in the binder group compared with about 3.75 in the no-binder group (\u003Ca id=\u0022xref-fig-1-1\u0022 class=\u0022xref-fig\u0022 href=\u0022#F1\u0022\u003EFigure 1\u003C\/a\u003E). On average, women in the binder group used almost 1200 mg of ibuprofen per day compared with 800 mg in the no-binder group.\u003C\/p\u003E\u003Cp id=\u0022p-6\u0022\u003EOn postoperative Day 2, VAS scores were significantly lower in the binder group compared with the no-binder group (p=0.010). Pain medication use was significantly lower in the no-binder group compared with the binder group (p\u0026lt;0.001).\u003C\/p\u003E\u003Cp id=\u0022p-7\u0022\u003EThere were no differences in SDS scores or hemoglobin and hematocrit values between the groups on postoperative Day 1 or 2. The dropout rate was much higher in the no-binder group than in the binder group.\u003C\/p\u003E\u003Cp id=\u0022p-8\u0022\u003EThe use of postoperative abdominal binders in women who underwent cesarean section was associated with a significantly lower VAS score on postoperative Day 2, but ibuprofen use was increased compared with women who did not use abdominal binders. There was no difference in patient distress between the 2 groups. The higher dropout rate in the no-binder group may suggest a preference for using abdominal binders. Given that there were no significant differences in most of the measurements and that there appears to be no medical disadvantages associated with the use of abdominal binders after cesarean section, Dr. Myers suggested that abdominal binders continue to be used postoperatively.\u003C\/p\u003E\u003Cdiv id=\u0022F1\u0022 class=\u0022fig pos-float  odd\u0022\u003E\u003Cdiv class=\u0022highwire-figure\u0022\u003E\u003Cdiv class=\u0022fig-inline-img-wrapper\u0022\u003E\u003Cdiv class=\u0022fig-inline-img\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/7\/12.2\/F1.large.jpg?width=800\u0026amp;height=600\u0026amp;carousel=1\u0022 title=\u0022Visual Analog Scale Scores on Postoperative Day 1\u0022 class=\u0022fragment-images colorbox-load\u0022 rel=\u0022gallery-fragment-images-439309005\u0022 data-figure-caption=\u0022Visual Analog Scale Scores on Postoperative Day 1\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003E\u003Cimg class=\u0022fragment-image\u0022 alt=\u0022Figure 1.\u0022 src=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/7\/12.2\/F1.medium.gif\u0022\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022highwire-figure-links inline\u0022\u003E\u003Cli class=\u00220 first\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/7\/12.2\/F1.large.jpg?download=true\u0022 class=\u0022highwire-figure-link highwire-figure-link-download\u0022 title=\u0022Download Figure 1.\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload figure\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00221\u0022\u003E\u003Ca href=\u0022http:\/\/d282kpwvnogo5m.cloudfront.net\/content\/spmdc\/14\/7\/12.2\/F1.large.jpg\u0022 class=\u0022highwire-figure-link highwire-figure-link-newtab\u0022 target=\u0022_blank\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EOpen in new tab\u003C\/a\u003E\u003C\/li\u003E\u003Cli class=\u00222 last\u0022\u003E\u003Ca href=\u0022\/highwire\/powerpoint\/15940\u0022 class=\u0022highwire-figure-link highwire-figure-link-ppt\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EDownload powerpoint\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E\u003C\/div\u003E\u003Cdiv class=\u0022fig-caption\u0022 xmlns:xhtml=\u0022http:\/\/www.w3.org\/1999\/xhtml\u0022\u003E\u003Cspan class=\u0022fig-label\u0022\u003EFigure 1.\u003C\/span\u003E \n            \u003Cp id=\u0022p-9\u0022 class=\u0022first-child\u0022\u003EVisual Analog Scale Scores on Postoperative Day 1\u003C\/p\u003E\n         \u003Cdiv class=\u0022sb-div caption-clear\u0022\u003E\u003C\/div\u003E\u003C\/div\u003E\u003C\/div\u003E\u003Cul class=\u0022copyright-statement\u0022\u003E\u003Cli class=\u0022fn\u0022 id=\u0022copyright-statement-1\u0022\u003E\u00a9 2014 MD Conference Express\u00ae\u003C\/li\u003E\u003C\/ul\u003E\u003Cspan class=\u0022highwire-journal-article-marker-end\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Cspan id=\u0022related-urls\u0022\u003E\u003C\/span\u003E\u003C\/div\u003E\u003Ca href=\u0022http:\/\/mdc.sagepub.com\/content\/14\/7\/12.2.abstract\u0022 class=\u0022hw-link hw-link-article-abstract\u0022 data-icon-position=\u0022\u0022 data-hide-link-title=\u00220\u0022\u003EView Summary\u003C\/a\u003E\u003C\/div\u003E  \u003C\/div\u003E\n\n  \n  \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_figures.js?nzp98d\u0022\u003E\u003C\/script\u003E\n\u003Cscript type=\u0022text\/javascript\u0022 src=\u0022http:\/\/mdc.sagepub.com\/sites\/all\/modules\/highwire\/highwire\/plugins\/highwire_markup_process\/js\/highwire_openurl.js?nzp98d\u0022\u003E\u003C\/script\u003E\n\u003C\/body\u003E\u003C\/html\u003E"}