The invention provides a cooling pad 110 for alleviation of pain or discomfort, especially in the perineum as a result of childbirth. The pad 110 has at least one chamber 116 containing a fluid (such as saline) for cooling. There is at least one aperture 126 for allowing passage of body fluid. The aperture 126 is located inboard of the chamber 116.
Aperture 126 is formed in a web 124.
Cooling pad 110 may be used alone or as part of an assembly, sandwiched between cover layer 130 and peel-off backing 132, and is intended to be placed in a freezer prior to use.