Perineal pain after delivery is common and is caused by local bruising or episiotomy. The pain may last for several days or months. Thus, several analgesic methods are offered. Topical magnesium sulfate 33% solution is a common treatment for perineal pain, wound treatment and alleviation of swelling. Yet, the efficacy of this treatment was not tested sufficiently in a clinical trials. In the present study we will compare the efficacy of topical magnesium sulfate versus cold water for perineal pain and improved perineal healing after delivery. Women after vaginal delivery (spontaneous or operative) with pain score of 3 in 0-10 numeric rating scale (NRS) will randomly be allocated to receive either pad with cold magnesium sulfate 33% solution or cold water. Pain score and healing parameters will be assessed at baseline, after one day of treatment and after two days of treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
140
Topical pads with cold magnesium sulfate 33% solution will be given 5 times/day for 15 minutes
Topical pads with cold water will be given 5 times/day for 15 minutes
Baruch Padeh Medical center, Poriya
Tiberias, North, Israel
RECRUITINGRate of women with perineal pain score< 3 NRS at the day after treatment initiation
Time frame: 24 hours post enrollment
Perineal pain intensity according to NRS scale at the day after treatment initiation
Time frame: 24 hours post enrollment
Degree of perineal healing using the REEDA scale
Time frame: 2 days
Perineal pain intensity according to NRS scale two days after treatment initiation
Time frame: 2 days (if still in hospital)
Rate of women with improvement in hemorrhoids characteristics in women with hemorrhoids
Time frame: 2 days
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