DOI QR코드

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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)
  • 투고 : 2020.03.01
  • 심사 : 2021.05.18
  • 발행 : 2021.06.30

초록

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.

키워드

과제정보

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.

참고문헌

  1. CORONIS Collaborative Group, Abalos E, Addo V, Brocklehurst P, El Sheikh M, Farrell B, et al. Caesarean section surgical techniques (CORONIS): a fractional, factorial, unmasked, randomised controlled trial. Lancet. 2013;382(9888):234-48. https://doi.org/10.1016/S0140-6736(13)60441-9
  2. Basha SL, Rochon ML, Quinones JN, Coassolo KM, Rust OA, Smulian JC. Randomized controlled trial of wound complication rates of subcuticular suture vs staples for skin closure at cesarean delivery. Am J Obstet Gynecol. 2010;203(3):285.e1-8. https://doi.org/10.1016/j.ajog.2010.07.011
  3. Chanif C, Petpichetchian W, Chongchareon W. Does foot massage relieve acute postoperative pain? A literature review. Nurs Media J Nurs. 2013;3(1):483-97.
  4. Chanif. The effect of food massage on acute postoperative pain in Indonesian patients after abdominal surgery [master's thesis]. [Songkhla]: Prince of Songkla University; 2012. 142 p.
  5. Niazi A, Yousefzadeh S, Rakhshandeh H, Esmaeili H. [Comparison of purslane cream and lanolin on nipple pain among breastfeeding women: a randomized clinical trial]. Iran J Obstet Gynecol Infertil. 2018;20(12):77-85. Persian.
  6. Niazi A, Yousefzadeh S, Rakhshandeh H, Esmaeily H. The effect of nipple soreness treatment with purslane cream and lanolin on frequency and duration of breastfeeding in nursing mothers: a randomized clinical trial. J Midwifery Reprod Health. 2019;7(1):1534-42.
  7. Sepehrirad M, Bahrami H, Noras M. [The role of complementary medicine in control of premenstrual syndrome evidence based (Regular Review Study)]. Iran J Obstet Gynecol Infertil. 2016;19(24):11-22. Persian.
  8. Nahas R, Sheikh O. Complementary and alternative medicine for the treatment of major depressive disorder. Can Fam Physician. 2011;57(6):659-63.
  9. Page MJ, Moher D. Evaluations of the uptake and impact of the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) Statement and extensions: a scoping review. Syst Rev. 2017;6(1):263. https://doi.org/10.1186/s13643-017-0663-8
  10. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds D, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  11. Golestannejad Z, Gavanji S, Mohammadi E, Motamedi A, Bahrani M, Rezaei F, et al. Comparison of antibacterial activity of essential oils of Foeniculum vulgare Mill, Mentha arvensis and Mentha piperita against Streptococcus mutans. Adv Herbal Med. 2017;3(1):3-13.
  12. Fazel N, Tafazoli M, Ramezani M, Esmaili H. The effect of supermint oil on the flatulence intensity after cesarean section. J Ardabil Univ Med Sci. 2004;4(4):41-6.
  13. Johri RK. Cuminum cyminum and Carum carvi: an update. Pharmacogn Rev. 2011;5(9):63-72. https://doi.org/10.4103/0973-7847.79101
  14. Fazel N, Esmaeili HA. [The effect of cumin oil on pain severity after cesarean section]. Iran J Obstet Gynecol Infertil. 2008;11(4):23-9. Persian.
  15. Nikjou R, Kazemzadeh R, Rostamnegad M, Moshfegi S, Karimollahi M, Salehi H. The effect of lavender aromatherapy on the pain severity of primary dysmenorrhea: a triple-blind randomized clinical trial. Ann Med Health Sci Res. 2016;6(4):211-5. https://doi.org/10.4103/amhsr.amhsr_527_14
  16. Sobhani A, Sharmi H. Effect of lavender oil on pain relief after cesarean section. J Gilan Med Univ. 2002;16:80-6.
  17. Ebrahimi Houshyar A, Hosein Rezaie H, Jahani Y, Kazemi M, Monfared S. [Comparison of two methods of aromatherapy with lavender essence and Transcutaneous Electrical Nerve Stimulation (TENS) on cesarean postoperative pain]. Iran J Obstet Gynecol Infertil. 2015;18(146):6-12. Persian.
  18. Najafi B, Fariba F, Daem R, Ghaderi L, Seidi J. The effect of Lavender Essence on pain severity after cesarean section under spinal anesthesia. J Chem Pharm Sci. 2016;7:66-9.
  19. Olapour A, Behaeen K, Akhondzadeh R, Soltani F, Al Sadat Razavi F, Bekhradi R. The effect of inhalation of aromatherapy blend containing lavender essential oil on cesarean postoperative pain. Anesth Pain Med. 2013;3(1):203-7. https://doi.org/10.5812/aapm.9570
  20. Niazi A, Moradi M. Sexual satisfaction and function in postmenopausal women treated with herbal medicines: a review of clinical trials. Evid Based Care. 2019;9(2):7-16.
  21. Samadi S, Khadivzadeh T, Emami A, Moosavi NS, Tafaghodi M, Behnam HR. The effect of Hypericum perforatum on the wound healing and scar of cesarean. J Altern Complement Med. 2010;16(1):113-7. https://doi.org/10.1089/acm.2009.0317
  22. Parente LM, Lino Junior Rde S, Tresvenzol LM, Vinaud MC, de Paula JR, Paulo NM. Wound healing and anti-inflammatory effect in animal models of Calendula officinalis L. growing in Brazil. Evid Based Complement Alternat Med. 2012;2012:375671.
  23. Eghdampour F, Jahdie F, Kheyrkhah M, Taghizadeh M, Naghizadeh S, Hagani H. The impact of aloe vera and Calendula on perineal healing after episiotomy in primiparous women: a randomized clinical trial. J Caring Sci. 2013;2(4):279-86.
  24. Lavagna SM, Secci D, Chimenti P, Bonsignore L, Ottaviani A, Bizzarri B. Efficacy of Hypericum and Calendula oils in the epithelial reconstruction of surgical wounds in childbirth with caesarean section. Farmaco. 2001;56(5-7):451-3. https://doi.org/10.1016/S0014-827X(01)01060-6
  25. Saikaly SK, Khachemoune A. Honey and wound healing: an update. Am J Clin Dermatol. 2017;18(2):237-51. https://doi.org/10.1007/s40257-016-0247-8
  26. Nikpour M, Shirvani MA, Azadbakht M, Zanjani R, Mousavi E. The effect of honey gel on abdominal wound healing in cesarean section: a triple blind randomized clinical trial. Oman Med J. 2014;29(4):255-9. https://doi.org/10.5001/omj.2014.68
  27. Shirvani MA, Nikpour M, Azadbakht M, Banihosseini SZ, Zanjani R. The effect of honey gel on cesarean incision pain: a triple blind clinical trial. Afr J Pharm Pharmacol. 2013;7(1):19-24. https://doi.org/10.5897/AJPP12.748
  28. Heidari T, Roozbahani N, Farahani LA, Attarha M, Torkestani NA, Jamilian M, et al. Does Iranian Astragalus gossypinus honey assist in healing caesarean wounds and scars? Eur J Integr Med. 2013;5(3):226-33. https://doi.org/10.1016/j.eujim.2013.01.005
  29. Heidarifar R, Mehran N, Heidari A, Tehran HA, Koohbor M, Mansourabad MK. Effect of Dill (Anethum graveolens) on the severity of primary dysmenorrhea in compared with mefenamic acid: a randomized, double-blind trial. J Res Med Sci. 2014;19(4):326-30.
  30. Shakeri Hosseinabad S, Shabanian G, Shabanian S, Rafiean M, Kheiri S, Lorigooini Z, et al. Evaluating the effect of Dill (Anethum graveolens L.) seed essence on pain and vital sign of cesarean delivery with spinal anesthesia. J Ardabil Univ Med Sci. 2017;17(3):311-23.
  31. Fazel N, Pejhan A, Taghizadeh M, Tabarraei Y, Sharifi N. Effects of Anethum graveolens L. (Dill) essential oil on the intensity of retained intestinal gas, flatulence and pain after cesarean section: a randomized, double-blind placebo-controlled trial. J Herbal Med. 2017;8:8-13. https://doi.org/10.1016/j.hermed.2017.01.002
  32. Hemmati AA, Foroozan M, Houshmand G, Moosavi ZB, Bahadoram M, Maram NS. The topical effect of grape seed extract 2% cream on surgery wound healing. Glob J Health Sci. 2014;7(3):52-8. https://doi.org/10.5539/gjhs.v7n3p52
  33. Soorgi S, Izadpanah AM, Sharifzadeh GR, Torshizi M, Khazaye Z, Hasanpour M. The effects of grape seed extract ointment on approximation of cesarean section wound. Mod Care J. 2016;13(1):e8849.
  34. Abrosh Z, Rezai M, Ashrafi F. Effect of antibacterial activity of Salvia officinalis essence. J Med Aromat Plants. 2004;20(4):457-68.
  35. L M Lopes C, Goncalves e Sa C, de Almeida AA, da Costa JP, Marques TH, Feitosa CM, et al. Sedative, anxiolytic and antidepressant activities of Citrus limon (Burn) essential oil in mice. Pharmazie. 2011;66(8):623-7.
  36. Sharifipour F, Mirmohammad Ali M, Hashemzadeh M. [Comparison of the effect of Citrus arantium and Salvia officinalis aroma on post-cesarean section pain]. Iran J Obstet Gynecol Infertil. 2017;20(2):41-9. Persian.
  37. Liu LY, Chen XD, Wu BY, Jiang Q. [Influence of Aloe polysaccharide on proliferation and hyaluronic acid and hydroxyproline secretion of human fibroblasts in vitro]. Zhong Xi Yi Jie He Xue Bao. 2010;8(3):256-62. Chinese. https://doi.org/10.3736/jcim20100310
  38. Chantarawaratit P, Sangvanich P, Banlunara W, Soontornvipart K, Thunyakitpisal P. Acemannan sponges stimulate alveolar bone, cementum and periodontal ligament regeneration in a canine class II furcation defect model. J Periodontal Res. 2014;49(2):164-78. https://doi.org/10.1111/jre.12090
  39. Molazem Z, Mohseni F, Younesi M, Keshavarzi S. Aloe vera gel and cesarean wound healing; a randomized controlled clinical trial. Glob J Health Sci. 2014;7(1):203-9. https://doi.org/10.5539/gjhs.v7n1p203
  40. Schmidt JM, Greenspoon JS. Aloe vera dermal wound gel is associated with a delay in wound healing. Obstet Gynecol. 1991;78(1):115-7.
  41. Hamdamian S, Nazarpour S, Simbar M, Hajian S, Mojab F, Talebi A. Effects of aromatherapy with Rosa damascena on nulliparous women's pain and anxiety of labor during first stage of labor. J Integr Med. 2018;16(2):120-5. https://doi.org/10.1016/j.joim.2018.02.005
  42. Gharabaghi PM, Tabatabei F, Fard SA, Sayyah-Melli M, Ouladesahebmadarek E, Del Azar A, et al. Evaluation of the effect of preemptive administration of Rosa damascena extract on postoperative pain in elective cesarean sections. Afr J Pharm Pharmacol. 2011;5(16):1950-5.
  43. Aradmehr M, Azhari S, Ahmadi S, Azmoude E. The effect of chamomile cream on episiotomy pain in Primiparous women: a randomized clinical trial. J Caring Sci. 2017;6(1):19-28. https://doi.org/10.15171/jcs.2017.003
  44. Najafi B, Mojab F, Ghaderi L, Farhadifar F, Roshani D, Seidi J. The effect of chamomile flower essence on pain severity after elective caesarean section under spinal anaesthesia: a randomized clinical trial. J Clin Diagn Res. 2017;11(11):UC01-4.
  45. Ghorbani Z, Khadem E. Therapeutic applications of turmeric and its principle constituent curcumin in wound healing and skin regeneration from the perspective of conventional medicine and Iranian Traditional Medicine (ITM). J Med Plants. 2017;16(64):12-21.
  46. Mahmudi G, Nikpour M, Azadbackt M, Zanjani R, Jahani MA, Aghamohammadi A, et al. The impact of turmeric cream on healing of Caesarean scar. West Indian Med J. 2015;64(4):400-6.
  47. Soleimani M, Yousefzadeh S, Salari R, Vahed SHM, Mazloum SR. [The effects of flaxseed ointment on cesarean wound healing: randomized clinical trial]. Iran J Obstet Gynecol Infertil. 2019;22(9):64-71. Persian.
  48. Will JS, Bury DC, Miller J. Mechanical low back pain. Am Fam Physician. 2018;98(7):421-8.
  49. Rezaei R, Saatsaz S, Alipour A, Beheshti Z. [Massage-therapy and post cesarean pain control]. Iran J Obstet Gynecol Infertil. 2017;20(4):34-43. Persian.
  50. Najar S, Akbari M, Abbaspoor Z, Haghighizadeh M. The effect of hand and foot massage on pain intensity after caesarean. Sci J Ilam Univ Med Sci. 2013;20(4):39-48.
  51. Irani M, Kordi M, Tara F, Bahrami HR, Shariati Nejad K. The effect of hand and foot massage on post-cesarean pain and anxiety. J Midwifery Reprod Health. 2015;3(4):465-71.
  52. Saatsaz S, Rezaei R, Alipour A, Beheshti Z. Massage as adjuvant therapy in the management of post-cesarean pain and anxiety: a randomized clinical trial. Complement Ther Clin Pract. 2016;24:92-8. https://doi.org/10.1016/j.ctcp.2016.05.014
  53. Razmjoo N, Hafizi lotfabadi L, Yousefi F, Esmaeeli H, Azizi H, Lotfalizadeh M. [Effect of foot reflexology on pain and anxiety in women following elective cesarean section]. Iran J Obstet Gynecol Infertil. 2012;15(1):8-16. Persian.
  54. Hamidzadeh A, Shahpourian F, Orak RJ, Montazeri AS, Khosravi A. Effects of LI4 acupressure on labor pain in the first stage of labor. J Midwifery Womens Health. 2012;57(2):133-8. https://doi.org/10.1111/j.1542-2011.2011.00138.x
  55. Ramezani S, Hamidzadeh A, Abdollahpour S, Khosravi A. Effects of LI4 acupressure on post-cesarean section pain. Int J Health Stud. 2016;2(2):23-6.
  56. Negahban Bonabi T, Ansari Jaberi A, Esmaeilzadeh S, Hasanshahi Ravizi A. [Comparison of the effect of acupressure at LI4 and SP6 points on the intensity of post cesarean pain]. Iran J Obstet Gynecol Infertil. 2018;21(6):9-17. Persian.
  57. Sheikhan F, Jahdi F, Khoei EM, Shamsalizadeh N, Sheikhan M, Haghani H. Episiotomy pain relief: use of Lavender oil essence in primiparous Iranian women. Complement Ther Clin Pract. 2012;18(1):66-70. https://doi.org/10.1016/j.ctcp.2011.02.003