Evidence map›Paper›PMID 42217018›Full record

ReviewInternational urogynecology journal2026

Infrared and Laser for Pain and Healing of Postpartum Perineal Injuries: A Systematic Review and Meta-Analysis.

Juliana Sader Santos Vanzella, Fátima Faní Fitz, Rodrigo Aquino Castro, Tânia Terezinha Scudeller, Maria Augusta Tezelli Bortolini

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In one paragraph

Review in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Juliana Sader Santos VanzellaInterdisciplinary Postgraduate Program in Health Sciences at Federal University of São Paulo, Santos, Brazil.
Fátima Faní FitzDepartment of Gynecology, Federal University of São Paulo, Rua Napoleão de Barros, 608 - Vila Clementino, São Paulo, SP, CEP 04024-002, Brazil. fitz.fatima@unifesp.br.ORCID http://orcid.org/0000-0002-6371-3193
Rodrigo Aquino CastroDepartment of Gynecology, Federal University of São Paulo, Rua Napoleão de Barros, 608 - Vila Clementino, São Paulo, SP, CEP 04024-002, Brazil. rodrigo.castro@uol.com.br.ORCID http://orcid.org/0000-0002-0959-7363
Tânia Terezinha ScudellerDepartment of Human Movement Sciences, Federal University of São Paulo, Santos, Brazil.
Maria Augusta Tezelli BortoliniDepartment of Gynecology, Federal University of São Paulo, Rua Napoleão de Barros, 608 - Vila Clementino, São Paulo, SP, CEP 04024-002, Brazil.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88887.892765/2023-00
6 · The paper itself

Abstract

introduction and hypothesisThe effectiveness of far-infrared radiation (FIR) and low-level laser therapy (LLLT) for postpartum pelvic floor pain and healing remains unclear. The study proposes that FIR and LLLT may be more effective than no treatment or standard conservative approaches in relieving pain and enhancing tissue healing after childbirth-related perineal trauma.

methodsThe review protocol was registered in PROSPERO. The systematic search was conducted between February and March 2024. Randomized and quasi-experimental trials for pain and healing of postpartum perineal injuries were included. PEDro scale and ROBINS-2 were used to evaluate the studies. Fixed or random effects models based on study heterogeneity were calculated using the I

resultsNine studies met criteria and were included in the review. Five were included in the meta-analyses. Three investigated the effects of FIR compared to no treatment or sitz baths for pain relief without differences between the interventions [-0.54; 95% CI (-2.26, 1.18), p = 0.54]. Two studies compared LLLT and placebo/sham therapy with no differences between them on pain in two moments: at 20-24 h [0.12; 95% CI (-1.74, 1.98), p = 0.90] and at 40-48 h postpartum [-0.02; 95% CI (-1.89, 1.84), p = 0.98]; and no differences between the treatments on healing were evidenced at 20-24 h [0.30; 95% CI (-0.35, 0.95), p = 0.36], and at 40-48 h postpartum [-0.02; 95% CI (-1.89, 1.84), p = 0.98].

conclusionsFIR and LLLT showed no added benefit over conventional treatments for pain relief and wound healing in perineal injuries post-vaginal delivery.

Indexed as

Infrared radiationLaser therapyPerineal traumaPostpartum perineal healingPostpartum perineal pain

Identifiers

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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.