Episiotomy Wound Healing Research Articles

A Study to Assess the Effectiveness of Lavender Oil Versus Povidine Iodine on Healing of Episiotomy Wound among Postnatal Mothers

A Study to Assess the Effectiveness of Lavender Oil Versus Povidine Iodine on Healing of Episiotomy Wound among Postnatal Mothers

Effectiveness of Infra-Red Therapy Upon Level of Episiotomy Pain and Wound Healing among Postnatal Mothers

Perineal pain and wound is most commonly associated with vaginal delivery with episiotomy. Various therapies are available for the treatment of episiotomy pain and wound healing; the effectiveness of infra-red therapy is little documented. So, keeping in view a quasi-experimental study was conducted to assess the effectiveness of infra-red therapy upon level of episiotomy pain and wound healing among 60 post natal mothers (30 in each experiment and control group) admitted at selected hospitals of district Ludhiana, Punjab. The findings of present study concluded that both the experimental and control group were statistically homogenous (p>0.05) Application of infra-red therapy had significant effect as episioto my pain mean score decreased from 4.1667±1.555 to 0.533±0.937 in experimental group and 4.166±1.555 to 2.900±1.516 in control group. Application of infra-red therapy had significant effect as improvement in episiotomy wound healing as episiotomy wound healing also mean scores decreased from 3.733±2.258 to 0.733±1.284 in experimental group and 4.366±1.449 to 3.633±2.189 in control group. Furthermore, the study can be replicated on a large sample. The study findings concluded that Infra-red therapy was found to be effective in the management of episiotomy pain and wound healing.

Effectiveness Of Topical Application Of Chlorhexidine And Prevailing Practices On Episiotomy Wound Among Postnatal Mothers

Puerperium is a period when the mother experiences intense physical and emotional stress due to exhaustion, anxiety and excitement. Each mother has to adjust to physical changes in her own body due to involution and lactation as well as cope up with the new demands on her time and emotions made by the new born baby. Episiotomy, despite evidences that it is an unnecessary intervention, is one of the most common surgical procedures performed during the second stage of labour, especially in primigravida woman. Thus, a randomized controlled trial to assess the effectiveness of topical application of chlorhexidine and prevailing practices on episiotomy wound among postnatal mothers at selected hospital of Indore was undertaken. True experimental approach with pre test post test research design was adopted. Simple random sampling was taken to select 40 postnatal mothers with episiotomy wound and three days postpartum hospital stay in Choithram Hospital & Research Centre, Indore as per the inclusion criteria. Data was collected with help of questionnaire for socio demographic data and obstetrical data and the wound healing was assessed by REEDA wound healing assessment scale. Samples in the experimental group were applied with chlorhexidine on episiotomy wound and the samples in the control group received routine care with betadine or nadoxin. Post assessment score was taken on third day (evening) by REEDA wound assessment scale. Finding of the study related to effectiveness of chlorhexidine among postnatal mothers in experimental group revealed that there was a significant difference in the healing of episiotomy wound by the application of chlorhexidine among postnatal mothers in experimental group at t19 = 11.40 at the level of p< 0.001. Hence it was inferred that topical application of chlorhexidine on episiotomy wound promotes wound healing.

Comparison of Infra Red Light Therapy vs Sitz Bath on Episiotomy in Terms of Wound Healing and Intensity of Pain among Postnatal Mothers

Childbearing is a unique personal experience which is in most circumstances a normal yet critical life event, rather than a disease process. The joy and ecstasy of motherhood cannot be described in words. Unfortunately this blessing is fraught with danger especially for woman more so in under-developed countries due to inadequate health care facilities. Episiotomy has been routinely used surgical procedure to facilitate delivery. The mother undergoing episiotomy is at risk of greater blood loss in conjunction with delivery, improper wound healing and increased pain during early puerperium. Various interventions have been found to aid the episiotomy healing process which includes cleanliness, applying ice pack, topical application by dry heat, sitz bath, and Kegels' exercises. The present study compares the effectiveness of infrared light therapy vs. sitz bath therapy on episiotomy in terms of wound healing and intensity of pain among postnatal mothers. The study was conducted in postnatal wards of a multi speciality hospital. Using purposive sampling, 60 postnatal mothers with episiotomy were selected. Of these, 30 mothers were treated with infrared light and remaining thirty postnatal mothers were treated with sitz bath. Data was collected using REEDA Scale and Numerical Rating Scale. Findings revealed that both infrared light therapy and sitz bath were effective in enhancing episiotomy wound healing, however, sitz bath was significantly more effective in promoting episiotomy wound healing as compared to infrared light. Infrared light and sitz bath were both effective in terms of reducing intensity of episiotomy pain. Findings revealed no significant association of episiotomy wound healing of the postnatal mothers treated with infrared light therapy and sitz bath with selected variables. However, there was significant association of type of antibiotic taken by postnatal mothers with intensity of episiotomy pain.

The Impact of Aloe vera and Calendula on Perineal Healing after Episiotomy in Primiparous Women: A Randomized Clinical Trial.

Episiotomy is used for enlarging the perineum. Aloe vera and Calendula have been used for treating different diseases from ancient times, limited researches have been done regarding the healing of these plants. Since the effect of their ointment on episiotomy healing has not been studied, this study is being done for determining the impact of Aloe vera and Calendula on episiotomy healing in primiparous women. This clinical trial involves 111 qualified primiparous women admitted in Lolagar hospital. They were randomly categorized into three groups of control (n=1) and experimental (n=2) groups. The women in experimental group used Aloe vera and Calendula Ointment every 8 hours and the control group used hospital routine on episiotomy for 5 days. The data were collected by demographic questionnaire and redness, edema, ecchymosis, discharge and approximation scale (REEDA) which investigated the episiotomy healing before and five days after intervention in two groups. ANOVA, Tukey test, Kruskal-wallis, Chi-square were used for data analysis. The three groups do not have statistically significant different regarding demographic and other intervening variables. Comparing the mean of REEDA in five days after delivery showed statistically significant difference between control and experimental groups. According to the results, using Aloe vera and Calendula ointment considerably increases the speed of episiotomy wound healing so it can be used for quickening the episiotomy healing.

Effect of dry heat versus moist heat on Episiotomy pain and wound healing

Effect of dry heat versus moist heat on Episiotomy pain and wound healing

Effect of Infrared Therapy on Episiotomy Pain and Wound Healing among Post Natal Mothers

Effect of Infrared Therapy on Episiotomy Pain and Wound Healing among Post Natal Mothers

Effectiveness of Honey Versus Betadine on Episiotomy Wound Healing

An experimental study was conducted to compare the effect of honey versus betadine on episiotomy wound healing among 60 postnatal women (30 - honey group, 30 - betadine group) in Government Taluk Hospital, Kundapura between rd rd 23 October 2011 and 23 November 2011. Data was collected using episiotomy wound assessment scale. Findings revealed that in the honey group on day 1 the episiotomy wound assessment score mean is 8.03, on day 5 mean score reduced to 0.27. In betadine group day 1 mean is 8.23 and on day 5 mean score reduced to 1.4. There was a mean difference of 7.8 in the honey group and 6.83 in the betadine group. The obtained 't' value on day 2 (3.818), day 3 (2.967), day 4 (4.2), day 5 (4.02) found to be significant (p< 0.05) at 0.01 and 0.05 level of significance. This reveals that as the day progresses episiotomy wound healing was good in both the groups but it was faster in honey group than in betadine group. Study results denoted that application of honey has significant influence on episiotomy wound healing.

A Study to Assess the Effect of Infrared Radiation (Lamp) in Episiotomy Wound Healing among Postnatal Mothers

The objectives of the study were to:� Assess the effect of infrared radiation in the healing of episiotomy wound among postnatal mothers.� Assess the relationship between episiotomy wound healing and selected demographic variables.� Find out the rate of episiotomy wound healing with application of infrared radiation (lamp) and without application of infrared radiation(control group).The review of literature enabled the investigator to formulate the tool of episiotomy wound healing rating scale or REDDA scale.Conceptual framework based on modified King�s goal attainment theory was developed to describe the concept of the study.The research design adopted was Quasi experimental, which involves the observations on different days. The tool was validated andreliability was determined by the Guttman Split half method during pilot study. The main study was conducted at Acharya Vinoba BhaveRural Hospital, Sawangi, in Wardha district, a sample size of 50 postnatal mothers were selected by using purposive sampling technique.Demographic profile of postnatal mothers and episiotomy wound healing rating scale (REDDA) were used for data collection. A separateroom for treatment and observation was located for data collection. Ethical considerations were maintained throughout the study.Collected data were analyzed by using both descriptive and inferential statistics (percentage, mean, standard deviation, paired t-testChi-square and Fisher�s exact test).

Effect of Infrared Therapy on Episiotomy Pain and Wound Healing in Postnatal Mothers

Effect of Infrared Therapy on Episiotomy Pain and Wound Healing in Postnatal Mothers

P302 Evaluation of lavander cream effect on episiotomy pain and wound healing in primiparous women

P302 Evaluation of lavander cream effect on episiotomy pain and wound healing in primiparous women

Pregnancy and delivery in a patient with mutilating dystrophic epidermolysis bullosa (Hallopeau-Siemens type)

Epidermolysis bullosa dystrophica of the mutilating Hallopeau-Siemens type is a rare inherited skin disease. Those afflicted have blisters and pronounced scarring of skin and mucous membranes after minor trauma. Pregnancies are very rare in affected women. A 24-year-old woman, gravida 1, with a severe form of the Hallopeau-Siemens type was monitored closely during pregnancy. The patient spontaneously delivered a healthy female neonate at term. Episiotomy wound healing was uncomplicated. Seven months later, she returned in her second pregnancy, which was complicated by mild anemia and polyhydramnios from possible gestational-onset diabetes mellitus. Again, vaginal delivery of a healthy neonate was performed at term. We did not observe pregnancy-induced exacerbations of the skin disease. Women with epidermolysis bullosa dystrophica of the Hallopeau-Siemens type may decide to have children after careful evaluation of the degree of impairment and a thorough explanation of the risks associated with pregnancy and delivery. Close monitoring of the pregnant patient is important. Vaginal delivery should be the first choice. Breast-feeding is difficult, but not contraindicated.