• Mohamed Abd-ElGawad, Said AliAhmedAFaculty of Medicine, Al-Azhar University, Cairo, Egypt., Mohamed Abdelmonem, Norihan H Elshamy, Ahmed K Abdeltawab, Mahmoud Abd El-Shafea, Nancy M A Rund, Hammad A Fadlalmola, Ahmed S A Ashour, and Maged Almohamady.
• Faculty of Medicine, Fayoum University, Fayoum, Egypt.
• Int J Gynaecol Obstet. 2021 Jul 1; 154 (1): 7-16.

BackgroundAbdominal binder is a non-pharmacological method of relieving pain after surgical procedures.ObjectivesTo evaluate the effectiveness of the abdominal binder in relieving pain and distress scores after cesarean delivery (CD).Search StrategyThe following terms were searched: cesarean section, cesarean, caesarean, abdominal deliveries, C-section, abdominal delivery, abdominal binding, binder, and abdominal binder.Selection CriteriaRandomized controlled trials (RCTs) with patients undergoing CD receiving an abdominal binder compared with non-users of the abdominal binder.Data Collection And AnalysisFive electronic databases were searched until November 2019. Records were screened for eligibility. Data were extracted independently and analyzed. The main outcomes were pain and distress scores.ResultsThe final analysis included six RCTs. Overall effect estimate favored the abdominal binder group over the control group in the following outcomes: VAS pain scores after 24 h (mean difference [MD] -1.76; 95% confidence interval [CI] -3.14 to -0.39; P = 0.01), VAS scores after 48 h (MD -1.21; 95% CI -1.51 to -0.90; P < 0.001), distress score after 24 h (MD -1.87; 95% CI -3.01 to -0.73; P = 0.001), and distress score after 48 h (MD -1.87; 95% CI -3.07 to -0.67; P = 0.002).ConclusionThe abdominal binder could be an effective, simple, non-pharmacological option of relieving pain and distress after CD.© 2021 International Federation of Gynecology and Obstetrics.

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