Postoperative Pain Clinical Trial
Official title:
Effect of Pulsed Electromagnetic Field Therapy on Pain After Cesarean Delivery
A double-blinded randomized control study using a pulsed electromagnetic field therapy to establish whether this device decreases patient pain and decreases narcotic use in women who have undergone cesarean delivery.
This prospective, double-blind, randomized, sham-controlled clinical trial will investigate
the effectiveness of PEMF using the Ivivi SofPulse on postoperative pain severity and
narcotic use in women after cesarean delivery at Jacobi Medical Center. On admission to labor
and delivery or in the obstetrical outpatient office, potential subjects will complete
questions related to inclusion / exclusion criteria and sign a consent to participate in the
study. If eligible, patients will receive a Ivivi Sofpulse device which will be placed over
the incisional area and turned on. The devices are randomized into functional and sham
groups. The device will be left around the incision site unless the patient needs to shower.
In an effort to minimize bias, the patients, providers and investigators will not be aware if
the device is functional or not. Lot numbers will accompany the device. After completion of
the study, the Lot numbers, which will be provided by the manufacturer, will reveal which
devices were functional devices or shams. These lot numbers will only be provided on
completion of the trial. Wong-Baker Faces pain assessment tool will be evaluated by the
Principal Investigator (PI) or co-investigator for determination of subjective postoperative
pain at 0, 2, 6, 12, 24, 48, and 72 hours after cesarean delivery. Amount of oxycodone in
milligrams consumed by patients will be recorded 24, 48, 72 hours after cesarean delivery.
Postoperative anesthesia type (Duramorph or morphine patient controlled anesthesia pump) will
be recorded as well. Subjects will be randomized to PEMF treatment (functional), or sham
treatment. All subjects will be followed for the duration of their stay in the hospital
following their cesarean delivery.
No follow-up is required. The goal is to recruit one hundred patients over the course of four
months. Patient data will be identified by use of medical record number and will be kept
private on the Jacobi Medical Center Obstetrics and Gynecology server which is password
protected. Access will only be for the investigator and co-investigators in the study. Nurse
on labor and delivery have already received an in-service on the proper use of this device.
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