Journal of Pharmacopuncture (대한약침학회지)

KOREAN PHARMACOPUNCTURE INSTITUTE (대한약침학회)
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Effect of Complementary Medicine on Pain Relief and Wound Healing after Cesarean Section: A Systematic Review

  • Niazi, Azin (School of Nursing and Midwifery, Mashhad University of Medical Sciences) ;
  • Moradi, Maryam (Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences) ;
  • Askari, Vahid Reza (Pharmacological Research Center of Medicinal Plants, Mashhad University of Medical Sciences) ;
  • Sharifi, Neda (Department of Midwifery, Mashhad Branch, Islamic Azad University)
  • Received : 2020.03.01
  • Accepted : 2021.05.18
  • Published : 2021.06.30
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Abstract

Objectives: Cesarean sections are one of the common surgical procedures around the world. Management of cesarean section side effects, including pain, hematoma, delayed wound healing, is of particular importance in maintaining maternal health and ability to care for the baby. The tendency to use complementary medicine strategies is on the rise because of the easy treatment with low side effects. The purpose of this study was to systematically review the efficacy and safety of clinical trials performed in Iran and worldwide on the effect of complementary medicine on pain relief and wound healing after cesarean section. Methods: PRISMA checklist was followed to prepare the report of this systematic review. The search process was carried out on databases on databases of Magiran, SID, Iran Medex, Scopus, Pub Med, Science direct, Medline and Cochrane library using keywords of cesarean, pain, wound healing, Herbal medicine, acupressure, massage, complementary medicine and their Persian equivalent and all possible combinations, from inception until February 2020. We used the Jadad scale to assess the quality of the searched articles. According to the Jadad scale, the articles with a score of at least 3 were included in the study. Results: Finally, 28 clinical trials (with a sample size of 3,245) scored at least 3 on the Jadad scale were included into the analysis. This article reviewed 13 articles on medicinal herbs, 4 articles on massage, 1 article on reflexology, 2 articles on acupressure. Conclusion: According to the present review, the use of medicinal herbs was the most common method of complementary medicine in pain relief and wound healing after cesarean section.

Keywords

Acknowledgement

We would like to thank the Deputy of Research at Mashhad University of Medical Sciences for funding the current project. The present article is the result of a research project approved by Mashhad University of Medical Sciences, with the code of 981678 and has been approved with the ethical identification of IR.MUMS.NURSE.RES.1399.039.

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