Abstract

<p>Women who suffer perineal trauma in spontaneous labor experience pain and edema as the most common problems on the first day after delivery. Impaired mobility and a limited ability to carry out daily activities will affect the mother-baby bond. The study of the cold sitz bath intervention and infrared treatment aims to find out how these interventions can overcome the pain of perineal wounds in postpartum mothers. A quasi-experimental design was used to assess both interventions for treating pain in perineal trauma at the Madina Clinic and Sundari Hospital. The sample consisted of 40 mothers, 20 in the cold sitz bath (intervention group) and 20 in the infrared therapy (control group). Pain was measured using a numerical scale from day one to day three of the postpartum period and then the data were analyzed using the paired t-test statistical test. The results of this study revealed that the cold sitz bath hydrotherapy had a significant effect in reducing pain (p = 0.004), as well as infrared therapy (0.008). Although on the third day of the postpartum period, infrared therapy did not significantly reduce the pain level; several other factors could contribute to the significant differences in pain intensity reduction such as comfort, convenience, and the economic value of the intervention.</p><p align="center"> </p>

Highlights

  • The maternal mortality rate in the world is mostly led by developing countries as much as 99 percent

  • This study is a comparative study design to assess the effectiveness of cold water bath intervention versus infrared radiation therapy in removing the pain of postpartum mothers' perineal wonds using a quasi-experimental pretestpostest method

  • This hydrotherapy uses alternative cold water because it can overcome edema in perineal wounds compared to warm water

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Summary

Introduction

The maternal mortality rate in the world is mostly led by developing countries as much as 99 percent. Nigeria has a perineal wound infection prevalence rate of 23 percent Other studies have reported percent in spontaneous labor (Larsson et al, 1991). The geographic health survey results in Indonesia in 2010 obtained maternal mortality ratio (MMR) data of 263 per. 100,000 live births (Kemenkes RI, 2013). Complications including puerperal infection, improper treatment of perineal wounds, and bleeding (Hernawati, 2011). Childbirth, and the postpartum period that is not immediately addressed are the leading causes of maternal death

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