• Samieh Ghana, Sevil Hakimi, Mojgan Mirghafourvand, Fatemeh Abbasalizadeh, and Nasser Behnampour.
• Department of Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
• Int J Gynaecol Obstet. 2017 Jun 1; 137 (3): 271-276.

ObjectiveTo assess the effect of using abdominal binders on pain, distress, and postpartum hemorrhage after cesarean delivery.MethodsThe present prospective randomized controlled trial enrolled patients undergoing non-emergency cesarean deliveries in Gonbad-e Kavus, Golestan Province, Iran, between January 22 and October 23, 2015. Patients were randomized in a 1:1 ratio by blocks of four or six to a control group or to use an abdominal binder after delivery; all patients received routine care. The primary outcomes were visual analog scale-assessed pain, symptom distress scale (SDS)-assessed distress, and hemoglobin and hematocrit levels. Participants and researchers were masked to treatment assignments until after cesarean delivery, and data analysis was unmasked; intention-to-treat analyses were performed.ResultsThere were 89 patients enrolled in each group, with no differences in baseline pain scores, SDS scores, and hemoglobin and hematocrit levels between the groups (all P>0.05). Pain and SDS scores were lower in the binder group at all post-baseline time points compared with the control group (all P<0.001). Hemoglobin and hematocrit levels were higher among patients who received binders 36 hours after baseline (both P<0.001). There was one patient who experienced hemorrhage in the binders group and one patient requested removal of their binder.ConclusionPatients who received abdominal binders reported less pain, lower SDS scores, and higher hemoglobin and hematocrit levels following cesarean delivery.Iranian Registry Of Clinical TrialsIRCT2015042521917N2.© 2017 International Federation of Gynecology and Obstetrics.

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