Evidence map›Paper›PMID 40483418›Full record

Trial reportBMC pregnancy and childbirth2025

Effect of gum chewing and cold therapy on postoperative cesarean women's self-assessed pain levels and narcotics use: a comparative study.

Reda Mhmoud Mohamed Hables, Nor El-Hoda Mohamed El-Sayed ElShabory, Esraa Mostafa Abd El-Aty Ibrahim

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Reda Mhmoud Mohamed HablesAssistant Professor of Obstetrics and Gynecological Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Nor El-Hoda Mohamed El-Sayed ElShaboryAssistant Professor of Maternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port-Said University, Port-Said, Egypt.
Esraa Mostafa Abd El-Aty IbrahimAssistant Professor of Maternity, Gynecology and Obstetrics Nursing, Faculty of Nursing, Port-Said University, Port-Said, Egypt. esraamostafa@nur.psu.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the most important things for women having cesarean deliveries to focus on is effective pain management. Nursing practice to lessen labor pain may be significantly impacted by the application of a nonpharmacologic treatment.

aimEvaluate the effect of gum chewing and cold therapy on postoperative cesarean women's self-assessed pain levels and narcotics use.

methodA Quasi Experimental intervention design was used in the study at inpatient units of Dar Sahet Elmar`Aa hospital that follow Egypt healthcare authority in Port Said city. Purposive sample of 159 pregnant women who enrolled randomly in the three parallel groups. Two tools were used for collecting data in the study as A self-Administered questionnaire and the visual analog scale (VAS) were used.

resultsThe overall mean VAS score among the Cold pack gel group was 4.216 ± 0.716, Gum chewing group was 4.314 ± 0.908, while control group was 5.714 ± 1.232 with statistically significance differences among groups. Furthermore, over one quarter in cold therapy group, less than one quarter in Gum chewing group (32.1 and 28.3%, respectively) stopped taking analgesics 24 h after surgery, compared to only 7.5% of control group.

conclusionCold pack gel and gum chewing offer simple and cost-effective alternatives for postoperative pain management; however, cold pack gel has been shown to be substantially more effective in improving pain scores at four, eight, twelve, and twenty-four hours after surgery. In addition to its impact on reducing the need for opioid prescription drugs. Trial Registration Number (TRN). The study protocol was registered by the Research Ethics Committee of the Faculty of Nursing, Port Said University with code number: NUR22 on 6/2/2023.

Indexed as

Cesarean SectionChewing GumCryotherapyNarcoticsPain ManagementPostoperative PainAdultEgyptFemaleHumansPain MeasurementPregnancyYoung AdultChewing GumNarcoticsCesarean sectionCold therapyGum chewingNarcotic usePain

Identifiers

PMID40483418
PMCPMC12144763

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.