Disadvantage: It leads to increased body fluid loss through penetration, as it does not penetrate deep into the tissue, and can result in increased drying of the skin Nurses and midwives play a vital role in the overall management of perineal pain and wound healing after episiotomy, including continuous pain assessment and wound healing evaluation, application of interventions for episiotomy wounds, instruction for the new mothers about perineal self-assessment and care, and communication of relevant information about pain and healing process that every postnatal mother have [ 24, 34].

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There was limited low-certainty evidence that there may be a trivial MD of −0.43 in pain on a 10-point scale at 24 to 48 hours after giving birth (95% CI −0.73 to −0.13; 1 study, 250 participants) when a cooling treatment plus compression from a well-secured perineal pad was compared with the placebo. Levels of perineal oedema may be similar for the two groups (low-certainty evidence) and perineal bruising was not observed. There was low-certainty evidence that women may rate their satisfaction as being slightly higher with perineal care in the cold gel pad and compression group (MD 0.88, 95% CI 0.38 to 1.38; 1 trial, 250 participants). There was limited very low-certainty evidence that cooling treatment may reduce women's self-reported perineal pain within four to six hours (mean difference (MD) −4.46, 95% confidence interval (CI) −5.07 to −3.85 on a 10-point scale; 1 study, 100 participants) or between 24 and 48 hours of giving birth (risk ratio (RR) 0.73, 95% CI 0.57 to 0.94; 1 study, 316 participants). The evidence is very uncertain about the various measures of wound healing, for example, wound edges gaping when inspected five days after giving birth (RR 2.56, 95% CI 0.58 to 11.33; 1 study, 315 participants). Women generally rated their satisfaction with perineal care similarly following cooling or no treatment. The potential exception was that there may be a trivially lower mean difference of −0.1 on a five-point scale of psychospiritual comfort with cooling treatment, that is unlikely to be of clinical importance.

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Easy to use, simply firmly squeeze the pad to rupture the inner chamber and shake to activate the cooling effect. Place in your underwear, just as you would with a regular maternity towel or pad. The comfortable cooling sensation will last around 20 minutes. Please note, it is recommended that cooling therapy is used for only 20 minutes at a time. They’re very absorbent so don’t need to be used in conjunction with another product. Advantage: It has a low risk of skin burns, without causing skin maceration, and retains normal temperature, as evaporation does not occur in this process Women's self-rated perineal pain following the use of the cold pad within six hours of giving birth may be less than for women who had no treatment (1 study, 100 women). There were no clear differences in self-reported pain within 24 hours or up to 48 hours after giving birth (1 study, 316 women) or in perineal healing.

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Why it’s a winner: According to our testers, these pads fall into the category of products that will make your post-birth days easier, but which you might not think to buy for yourself. Judges found the pads are easy to use (you just squeeze them to rupture the inner chamber and shake to activate) and felt the cooling effect really set these apart from standard maternity pads. They’re not cheap, but we felt well worth the money to help relieve soreness after birth.

Perineal pain: During labor, your perineum will have to stretch considerably to allow your baby to pass through the birth canal and into the world. The stretching can cause tearing or require stitches — both of which could be painful for weeks afterward (1). Perineal tears are common during childbirth. In addition, sometimes the person attending the birth cuts the perineum to give extra room for the baby to be born (an episiotomy).

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The healing power of cool temperatures is pretty magical. However, before cooling gel existed, you had no choice but to deal with the messiness of ice. The woman is asked to sit in a basin (tub) filled with warm water (45-59℃), without pressure on the perineum, with her feet flat on the floor for 10 minutes Postpartum swelling: For a few days after childbirth, you will be swollen in this area. Cooling pads can help to reduce the discomfort. Especially welcome if you require stitches post birth. Did you know up to 90% of women suffer some degree of tearing during a vaginal delivery? Even a tiny graze will still be sore. Another important method that is commonly used for episiotomy wound healing is a sitz bath. For a sitz bath, a person is asked to sit in a tub filled with water to their hip level. A sitz bath is often referred to as a hip bath. The term "sitz bath" is derived from the German word Sitzbad, meaning a bath ( bad) in which one sits ( sitzen). A sitz bath can be administered using warm or chilly water. However, to relieve the pain, itching, and discomfort, it is suggested that warm water be used for a sitz bath [ 15, 27]. The region between the rectum and the vulva, or scrotum, is known as the perineum, which is cleaned with a sitz bath, warm water, and a shallow bath [ 28]. Additionally, a sitz bath helps ease discomfort or itchiness in the vaginal area. In addition to preventing soreness and a burning sensation around the perineum, the benefits of using a sitz bath include minimising perineal irritation, inflammation, and swelling. Indications for using a sitz bath are haemorrhoids, anorectal infections, operations, and postpartum mothers who gave birth vaginally [ 29].Veteran moms probably remember the postpartum days in great detail. I know I do. During pregnancy, it never even occurred to me that I wouldn’t feel well after a vaginal delivery. These tears and cuts often cause pain and the mother may have difficulty walking or sitting comfortably, or to feed and care for her baby, We looked for evidence from randomised controlled trials on how effective localised cooling treatments are for reducing pain from damage to the area between the vagina and the anus, that is, 'perineal trauma', when giving birth.