Efficacy of warm compresses in preserving perineal integrity and decreasing pain during normal labor: A systematic review and meta-Analysis.

Journal: African journal of reproductive health

Volume: 27

Issue: 4

Year of Publication: 2023

Affiliated Institutions:  Taibah University, Nursing College, Community Health Nursing Department, Almadina Almonawar, Saudi Arabia. Department of Nursing, College of Applied Medical Sciences, Shaqra University, Shaqra, Saudi Arabia. Applied Medical Science College, Nursing Department, Hafr Albatin University. Saudi Arabia. Prince sultan military college of health sciences, nursing department, Al Dhahran, Sudia Arabia. Umm alqura University, College of Nursing, Department of Nursing Practice, KSA. Nursing College, Alribat University Khartoum, Sudan. Al-Ghad International Colleges for Applied Medical Sciences. Department of Community Health Nursing and Health Care of Mass Gathering, Umm alqura university, KSA. Department of Community and Mental Health, College of Nursing, Najran University, Najran, Saudi Arabia. College of Applied Medical Science, Nursing Department, University of Bisha, Bisha, Saudi Arabia. Al-Rayan Colleges, College of Health Sciences and Nursing, Saudi Arabia. Jazan University. College of Nursing, Saudi arabia.

Abstract summary 

The objective of the study was to assess the effect of warm compresses in preserving perineal integrity in women who delivered a single baby vaginally with cephalic presentation. We searched PubMed, Scopus, and the ISI Web of Science databases. Two researchers worked independently and conducted the study's search, selection, and extraction. We calculated the pooled risk ratio (R.R.)- for our categorical outcomes- and mean difference (M.D.)-for our continuous outcomes- using random or fixed-effect meta-analysis according to heterogenicity status. I2 test was used to detect heterogenicity. Studies were assessed for methodological quality using the Cochrane risk of bias assessment tool. Our study analyzed 13 controlled trials (n= 3947) to compare warm compresses versus not using it during vaginal delivery. The analysis revealed that warm compresses group had better outcomes regarding episiotomy, degree of perineal trauma (third and fourth degree), perineal trauma requiring suturing, and also in behavioral pain scales (severe muscle tense, being very restless, and constant grimacing) with the following R.R. and confidence intervals: (R.R.= 0.56, 95% C.I.[0.23, 1.37]), (R.R.= 0.69, 95% C.I.[0.54, 0.89], p= 0.004),( (R.R.= 0.37, 95% C.I.[0.18, 0.77], p= 0.004), and ( (R.R.= 0.42, 95% C.I.[0.23, 0.78], p= 0.006) respectively. We conclude that among primiparous women, warm compresses group showed better outcome in improving perineal comfort than a the good of women who did not receive warm compresses after delivery.

Authors & Co-authors:  Fadlalmola Hammad H Abdelmalik Mohammed A MA Masaad Huda K H HKH Abdalla Adel M AM Mohammaed Mohammaed O MO Abbakr Ibrahim I Mohammed Almoez M AM Saeed Abdalrahman A AA Beraima Mohamed A MA Sambu Binyameen M BM Osman Abdalla Ma AM Elhusein Amal M AM Habiballa Mohammed M Yousef Huda H Hamid Hawa H Ali Anwar A Ahmed Nasreldeen N Banaga Amel A Omer Rasha R

Study Outcome 

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Statistics
Citations : 
Authors :  19
Identifiers
Doi : 10.29063/ajrh2023/v27i4.11
SSN : 1118-4841
Study Population
Women,Female
Mesh Terms
Female
Other Terms
Warm compresses;decreasing pain;normal labor;perineal integrity;primiparous women
Study Design
Study Approach
,Systemic Review
Country of Study
Publication Country
Nigeria