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.
