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A study of ultrasound treatment to the painful perineum after childbirth
Creates V
Physiotherapy 1987 Apr;73(4):162-165
clinical trial
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: Yes; Blind therapists: Yes; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

For decades ultrasound has been used as a means of treating recent injuries, with the aim of reducing pain, oedema and bruising. In this study, ultrasound has been applied to the painful perineum following childbirth, and the results evaluated. Following delivery the new mother has not only to recover from the birth, but to learn to know and how to look after her baby, all in a very short time span of a "limited stay" admission in hospital. She is bombarded with information, and needs to be both physically and mentally alert to retain and practise her new skills. Some mothers, in spite of normal ward procedures, suffer considerable pain in the first few days following delivery (Cator, 1982). This pain keeps them awake when they should be resting, and makes sitting, standing, walking and all movement difficult, and therefore has a direct effect on the early relationship between mother and baby. In this study we demonstrate a positive effect on pain.

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