- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03711994
Cold Therapy for Pain Control Following Caesarean Section
June 1, 2022 updated by: University of Tennessee
Cold Therapy for Pain Control Following Caesarean Section at Erlanger Baroness Hospital
Cold Therapy has been used for a variety of procedures and has been studied in several but not recently studied for reducing postop pain following Caesarean Sections.
The hypothesis is that Cold Therapy will reduce postop pain and increase patients mobility and improve care of her newborn.
Study Overview
Detailed Description
Cesarean Section (C/S) is one of the most commonly performed surgeries in many parts of the world.
In the United States the C/S rate in 1965 was 4.5% and increased to 30.5% in 2010.
While the number of C/S has increased, pain management has primarily been via epidural, spinal, local and general anesthesia and narcotic medication for the immediate postpartum period (pp).
This has lead to an increase in associated cost and problems with pain management.
Limited studies have been performed to evaluate cold compresses on pain relief in the immediate pp and there potential to reduce cost.
Cold Therapy (CT) is most often utilized in orthopedics, sports medicine, and in general surgery.
CT has been used to improve range of motion (rom) and reduce pain medication utilization.
We surmise CT may be useful in decreasing narcotic utilization after C/S, as well as improve mobility and allow for improved care of the newborn.
This is significant as Erlanger Baroness Hospital (EBH) is becoming Baby Friendly (BF).
This is a National Initiative for Children's Healthcare Quality (NICHQ) which desires having babies rooming in with their mothers and increasing breastfeeding rates.
The goal of this study is to evaluate a newer sterile delivery system for decreasing pp pain via CT.
This will be done as a Randomized Controlled Trial (RCT).
Study Type
Interventional
Enrollment (Actual)
2
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Tennessee
-
Chattanooga, Tennessee, United States, 37403
- Erlanger Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 43 years (Child, Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- greater than 36 weeks gestation
- primary C/S with Epidural for labor problems or breech presentation
- Repeat C/S with spinal
Exclusion Criteria:
- less than 36.0 week gestations
- vertical skin incisions
- classical or vertical hysterotomy incisions
- failed vaginal births after C/S (VBAC)
- past history of drug or alcohol abuse
- positive drug screens unless medical prescribed drugs
- general anesthesia
- Caesarean Hysterectomy
- primary C/S with spinal anesthesia
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Repeat C/S Control
Repeat C/S done with spinal without Alkantis ice pack but with similar size dressings.
|
|
Active Comparator: Repeat C/S Treatment
Repeat C/S done with spinal with Alkantis ice pack.
|
cold therapy pack placed on the wound post operatively
|
No Intervention: Primary C/S - Control
Primary C/S done with Epidural without Alkantis ice pack but with similar size dressings.
|
|
Active Comparator: Primary C/S Treatment
Primary C/S done with Epidural with Alkantis ice pack.
|
cold therapy pack placed on the wound post operatively
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Post Operative Pain
Time Frame: 48 hours after surgery
|
Will Utilize Visual Analog Scales to evaluate and measure pain in the post operative period.
|
48 hours after surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Narcotic Utilization
Time Frame: 48 hours after surgrey
|
Evaluate total narcotics used during time frame
|
48 hours after surgrey
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: William E Gist, M.D., University of Tennessee College of Medicine- Chattanooga
- Study Director: Kreg Jonson, M.D., University of Tennessee College of Medicine- Chattanooga
- Study Director: Mandi Raper, University of Tennessee College of Medicine- Chattanooga
- Study Director: Erin Tannous, MD, University of Tennessee College of Medicine- Chattanooga
- Study Chair: Olkayoude Akinlaja, MD, University of Tennessee College of Medicine- Chattanooga
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Zimpel SA, Torloni MR, Porfirio GJ, Flumignan RL, da Silva EM. Complementary and alternative therapies for post-caesarean pain. Cochrane Database Syst Rev. 2020 Sep 1;9(9):CD011216. doi: 10.1002/14651858.CD011216.pub2.
- Kullenberg B, Ylipaa S, Soderlund K, Resch S. Postoperative cryotherapy after total knee arthroplasty: a prospective study of 86 patients. J Arthroplasty. 2006 Dec;21(8):1175-9. doi: 10.1016/j.arth.2006.02.159.
- Placek PJ, Taffel SM. Trends in cesarean section rates for the United States, 1970--78. Public Health Rep. 1980 Nov-Dec;95(6):540-8.
- Placek PJ, Taffel S, Moien M. Cesarean section delivery rates: United States, 1981. Am J Public Health. 1983 Aug;73(8):861-2. doi: 10.2105/ajph.73.8.861.
- Stafford RS. Alternative strategies for controlling rising cesarean section rates. JAMA. 1990 Feb 2;263(5):683-7.
- Amin-Hanjani S, Corcoran J, Chatwani A. Cold therapy in the management of postoperative cesarean section pain. Am J Obstet Gynecol. 1992 Jul;167(1):108-9. doi: 10.1016/s0002-9378(11)91638-x.
- Koc M, Tez M, Yoldas O, Dizen H, Gocmen E. Cooling for the reduction of postoperative pain: prospective randomized study. Hernia. 2006 Apr;10(2):184-6. doi: 10.1007/s10029-005-0062-2. Epub 2006 Jan 24.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
December 1, 2015
Primary Completion (Actual)
December 1, 2019
Study Completion (Actual)
December 1, 2019
Study Registration Dates
First Submitted
January 25, 2016
First Submitted That Met QC Criteria
October 16, 2018
First Posted (Actual)
October 19, 2018
Study Record Updates
Last Update Posted (Actual)
June 2, 2022
Last Update Submitted That Met QC Criteria
June 1, 2022
Last Verified
April 1, 2018
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 14-133
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Post Operative Pain
-
Kaohsiung Medical University Chung-Ho Memorial...Not yet recruitingPostoperative Complications | Chronic Post Operative Pain | Acute Post Operative PainTaiwan
-
MercyOne Des Moines Medical CenterTerminatedPost Operative Pain | Post Operative Nausea and VomitingUnited States
-
E-DA HospitalNot yet recruitingCesarean Section | Post Operative Pain, Acute | Post Operative Pain, ChronicTaiwan
-
University of HaifaRecruiting
-
Hospital Universitari Vall d'Hebron Research InstituteRecruitingPost Operative PainSpain
-
Sohag UniversityNot yet recruitingPost Operative Pain
-
Tribhuvan University Teaching Hospital, Institute...Recruiting
-
Beijing Tide Pharmaceutical Co., LtdThe Third Xiangya Hospital of Central South UniversityNot yet recruitingPain, Post-operativeChina
-
Benaroya Research InstituteRecruitingPost Operative PainUnited States
-
National Cancer Institute, EgyptRecruiting