Dataset comparing the effectiveness of perineal cold pack application over oral paracetamol 1000mg on postpartum perineal pain among women after spontaneous vaginal delivery in Dodoma region

The data were collected from the Dodoma Regional Referral Hospital randomized clinical trial among postnatal women. The raw and analyzed data includes 228 postnatal women with the following information: age(years), marital status, education level, occupation, religion, residence, and income. It also includes the number of Antenatal Visits, perineal condition, birth weight of the newborn, and the magnitude of perineal pain at the start(time=zero), at 20,40 and 60 minutes. The participants were randomly allocated to either an intervention or control group. The intervention group received the cold pack, while the control group received the Paracetamol 1000mg start. Data were collected using a standardized questionnaire and then analyzed using Stata™ software (StataCorp LLC, College Station, TX, US) version 14 and IBM SPSS statistics 25. The outcome was pain intensity measured using a pain rating scale at the interval of 20 minutes up to 60 minutes. The intervention's effect was estimated using an analysis of variance(repeated measure ANOVA). Omega square test was used to establish the effect size. These data will help nurse midwives in health facilities analyze data and demonstrate the effectiveness of cold packs in relieving pain instead of oral paracetamol, hence increasing scaling up its utilization.


a b s t r a c t
The data were collected from the Dodoma Regional Referral Hospital randomized clinical trial among postnatal women.The raw and analyzed data includes 228 postnatal women with the following information: age(years), marital status, education level, occupation, religion, residence, and income.It also includes the number of Antenatal Visits, perineal condition, birth weight of the newborn, and the magnitude of perineal pain at the start(time = zero), at 20,40 and 60 minutes.The participants were randomly allocated to either an intervention or control group.The intervention group received the cold pack, while the control group received the Paracetamol 10 0 0mg start.Data were collected using a standardized questionnaire and then analyzed using Stata TM software (StataCorp LLC, College Station, TX, US) version 14 and IBM SPSS statistics 25.The outcome was pain intensity measured using a pain rating scale at the interval of 20 minutes up to 60 minutes.The intervention's effect was estimated using an analysis of variance(repeated measure ANOVA).Omega square test was used to establish the effect size.These data will help nurse midwives in health facilities analyze data and demonstrate the effectiveness of cold packs in relieving pain instead of oral paracetamol, hence increasing scaling up its utilization.
© 2023 The Author(s

Value of the Data
• Despite the negative impact on a woman's daily activities, perineal pain following birth is neglected by caregivers and usually not reported by women who may consider it an expected outcome of giving birth [1] .Hence, this data is valuable to nurse midwives to analyze and advocate the utilization of cold-pack for nursing postnatal women instead of paracetamol, which sometimes exert side effect on the breastmilk for the newborn.• Since refrigerators are well distributed in health facilities for keeping vaccines, they can produce cold packs that can benefit in relieving perineal pain among postnatal women with subsequent initiation of breastfeeding within one hour.• The data provide a resource for leaders and policymakers to formulate effective policies for using non-pharmacological agents like cold packs to relieve perineal pain instead of pharmacological analgesics.• The data will be valuable for training researchers in analyzing repeated measure ANOVA or using ANCOVA in experimental and observational data.• The data provide a framework for future in-depth studies on using non-pharmacological agents in health facilities for relieving pain and triggering timely initiation of breastfeeding.• This data further stimulates the development of a demonstration program aiming at scaling up at all health facilities, filling the gap of frequent out-of-stock pharmacological agents, and reducing the burden of out-of-pocket for mothers.

Data Description
Perineal pain after childbirth affects the woman's relationship with her child and the family [ 2 , 3 ]; these complications alert many research scientists to find the local application for relieving perineal pain in women after spontaneous vaginal delivery [5][6][7][8] .The data presented in this article were collected from the randomized clinical trial of postnatal women who went spontaneous vaginal delivery.The raw data are demographic, obstetric characteristics, and pain level and are shared publicly in the Figshare repository [4] .The data descriptor was provided with the shared data set ( Table 1 ).The name of the dataset in the Figshare is a coldpack_paracetamol Clinical Trial.The dataset includes the sociodemographic characteristics of the mother, such as age, marital status, education level, rural or urban residency, occupation, and sources of income.It further includes the obstetric characteristics of the mother, such as the number of pregnant(gravidity), the number of births (parity), the condition of the perineum after birth (perineum outcome), and the birth weight of the child.The data set contains measurements of the level of pain.The pain level was measured using a numeric rating scale represented by the horizontal line marked from zero to ten.It also contains the time the pain was measured, starting at time zero, 20 min, 40 min, and lasting at 60 min.The analyzed data produces the descriptive characteristic of the pain core of the paracetamol and cold pack ( Table 2 ); the descriptive in this table was produced by repeated measure ANOVA using IBM SPSS statistics 25 software.The repeated measure ANOVA subsequently produced Fig. 1 [4] .Table 2 was produced as an output using repeated measure ANOVA using Stata version 14.Thus, due to a series of post-estimation commands, Tables 3-6 and Fig. 2 was produced [4] .
The data set can be changed to a wider format and produces results of ANCOVA as an alternative analysis of repeated measure ( Table 7 ) Prob > chi2 = 0.0 0 0 Note: The reported degrees of freedom assumes the null hypothesis is not on the boundary of the parameter space.If is this not true, then the reported test is conservative.

Experimental Design, Materials and Methods
This data was collected from a randomized clinical control trial (RCCT) study involving postnatal women aged 18 to 49 allocated to the intervention and control group from a Dodoma Regional Referral Hospital postnatal ward.The number of participants in the intervention group was 114, while the control group contained 114 participants.Postnatal mothers with singleton birth, Birth weight (2500g and above), full-term, 18 to 49 years of age, and spontaneous vagina delivery (SVD) were included in the study.All post-natal mothers who had a postpartum hemorrhage, eclampsia, shock, any medical disorders like sickle, postpartum cardiomyopathy, fetal anomaly, neonates admitted in the intensive care unit, retained placenta, consumption of alcohol or continuous drugs, 3rd or 4th-degree perineal tear, perineal hematoma, and perineal edema, were excluded.
The research assistant (Nurse midwife) identified and recruited postnatal women who met the eligible criteria.The women who met the inclusion criteria and agreed to participate were included in the study by simple randomization via the closed envelope method.The participants were asked to pick any paper from the envelope and read whether it was written paracetamol (control group) or cold pack application (intervention group) as they came from the labour ward to postnatal.
The research team prepared the cold pack using examination gloves filled with water and placed it in the existing health facility refrigerators one night before the intervention.The cold pack was rapped with cotton gauze before application over the perineum to avoid direct contact with skin and fit the perineum according to the anatomy of the perineum.At the beginning of the study, the researchers collected baseline data using a standardized structured questionnaire.
Pain magnitude was evaluated by the numeric rating scale represented by a horizontal line with numerical marks from 0 (no pain) to 10 (worst imaginable pain) shown to each woman to quantify her pain sensation.
The perineal pain was self-evaluated at four time periods: the first evaluation was carried out prior to the application of the cold pack (intervention group) and paracetamol to the control group (before intervention); the second took place immediately after the application of the pack to the intervention group and paracetamol 10 0 0mg to the control group (at 20 min); the third took place 20 min later (at 40 min); and the fourth evaluation was made once again 20 min after the third evaluation (at 60 min).Participants were followed at 20, 40, and 60 min in both intervention and control arms to assess the pain level.The dependent variable was the intensity of pain, which was measured by a pain scale known as the Numeric Rating Scale (NRS) marks from 0 (no pain) to 10 (worst imaginable pain) shown to each woman to quantify her pain scale.
Both outcomes were measured before and after the intervention in both arms.Because this was an intervention, the independent variable received either the perineal cold pack or oral paracetamol 10 0 0mg.Dodoma Regional Referral Hospital was selected purposively to represent the Dodoma region because pregnant women from different Districts of Dodoma Region and the nearby Region are referred.

Fig. 2 .
Fig. 2. Trends in mean pain changes between paracetamol and cold pack groups to time.
). Published by Elsevier Inc.This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/ ) of oral paracetamol, and 114 received cold pack application.All post-natal mothers who had a postpartum hemorrhage, eclampsia, shock, any medical disorders like sickle cell disease, postpartum cardiomyopathy, foetal anomaly, neonates admitted in the intensive care unit, retained placenta, consumption of alcohol or continuous drugs, 3rd or 4th-degree perineal tear, perineal hematoma, and perineal edema, were excluded.Data source locationInstitution : Dodoma Regional Referral Hospital City/Town/Region : Dodoma Country : Tanzania Latitude and longitude : Dodoma Region is

Table 1
Attributes and description of socio-demographic and clinical data obtained during the trial (N = 228).

Table 2
Estimated Mean, standard deviation, within and between subjects of the study population.

Table 3
The first output of the repeated measure ANOVA.

Table 4
Estimated degree of freedom, chi-square, and two-tailed p -values for the Final contrast of marginal linear prediction of the group and time.

Table 5
Estimated degree of freedom, chi square, two-tailed p -values, contrast coefficiency, standard error, and 95% confidence interval for the group contrast.

Table 6
Estimated coefficients, degree of freedom, and 95% confidence interval for the measure of the effect size of cold-pack application on pain relief.

Table 7
shows the output of the ANCOVA.