A Study to Evaluate the Effectiveness of Sitz Bath on Episiotomy Wound Healing among Postnatal Mothers in Aravindan Hospital at Coimbatore

Abstract

Statement of the problem: ‘A study to evaluate the effectiveness of sitz bath on episiotomy wound healing among postnatal mothers in Aravindan hospital at Coimbatore. Objectives of the study: 1. To assess the episiotomy wound healing among postnatal mothers both in experimental and control group. 2. To administer Sitz Bath Application to mothers in Experimental Group. 3. To evaluate the effectiveness of sitz bath on episiotomy wound healing among postnatal mothers in experimental group. 4. To compare the effectiveness of sitz bath on episiotomy wound healing among postnatal mothers between experimental and control group. 5. To find out the association between the post observational episiotomy wound healing scores of postnatal with selected demographic variable. Methodology: The quantitative approach - quasi-experimental, non- equivalent control group pre-test. Post-test design was selected to evaluate the effectiveness of sitzbath on Episiotomy wound healing among postnatal mothers The researcher adopted non probability convenient sampling technique and 60 postnatal mothers were selected for the study from Aravindan hospital Coimbatore. They are divided into two groups, 30 in experimental group and 30 in control group. The investigator used Reeda Scale and visual Analog pain scale to assess the episiotomy wound healing. Results: The findings reveal that application of sitz bath is highly effective on severe redness (63.3%), severe oedema (876%), severe ecchymosis (83.3%), severe discharge (93.3%) and poor approximation of wound (90%). Posttest on 5th day revealed that they had moderate redness (30%), moderate oedema (34.3%), mild ecchymosis (27.6%), moderate discharge (38.6%) and improved approximation of wound (27.6%). For all parameters of REEDA calculated t-value >p-value, which infers that application of sitz bath is statistically highly effective for healing of episiotomy at 0.05 level of significance. The calculated t-value is 22 > 2.05, which infers that application of sitz bath is statistically highly effective for healing of episiotomy wound at 0.05 level of significance. The application of sitz bath is highly effective in experimental group based on REEDA parameters as per redness (45%) in experimental group when compared to control group redness (90%), discharge (38.6) in experimental group when compared to control group discharge (53.3%), edema (34%) in experimental group when compared to control group odema. 6%), ecchymoseis 7.6%) in experimental group when compared to control group ecchymosis (53.3%) and on approximation of wound (27.6%) when compared to control group approximation of wound(47.6%). Hence H2 is accepted. Conclusion: This information shows that Application of Sitz Bath is effective in episiotomy wound healing process