Background: In normal delivery process, the mother has to experience enormous pain to bring out the baby from their womb. The rate of episiotomy among the postnatal mothers in Nigeria is around 35.6% and in PrimiGravida mothers the rate was around 88.5% and in Enugu, the rate of episiotomy was around 40.4% for women including Primi Para and in multipara. There are some of the pharmacological, non-pharmacological and complementary therapies for episiotomy pain and wound healing. Sitz Bath is warm water, shallow bath that cleans the perineum, which is the space in between the rectum and the vulva or scrotum. Infrared ray therapy increases the level of nitric oxide and thereby it leads to vasodilation of vessels which helps in healing the episiotomy wound and reduces the pain level.
Aim:The aim of the study was to evaluate the effectiveness of sitz bath and Infrared ray therapy on level of episiotomy pain and wound healing among the postnatal mothers admitted in selected hospital, Puducherry.Methodology: A comparative study was conducted among mothers who gave birth to the baby with normal delivery and had episiotomy in selected hospital, Puducherry. Sample size was 90, selected through purposive sampling technique. The quantitative approach and Quasi experimental-pretest posttest with control group research design was used in this study. The data was collected through interview schedule from the subjects regarding their demographic and obstetrical variables, Universal pain assessment scale and REEDA scale were used to assess the level of episiotomy pain and wound healing among the postnatal mothers.
Result and Conclusion:The result shows that, the post-test mean score level of pain among experimental group II and the control group are 2.77±0.5, 2.83±0.98 and the calculated 't' value of t=0.33 was found to be statistically significant at p<0.05 level. For experimental group II and control group are 2.27±0.45, 2.83±0.98. The calculated unpaired 't' test value t=-2.85 was found to be statistically significant at p<0.001 level. The posttest mean score for level of episiotomy wound healing among experimental group I experimental group II are 1.07±0.25, 1.23±0.43 and the calculated unpaired 't' test value of t=1.82 was found to be statistically significant at p<0.001. For experimental group I and control group are 1.07±0.25, 1.27±0.45 and the calculated unpaired 't' test value of t=-2.12 was found to be statistically significant at p<0.001 level. From this study the researcher concluded that, both the sitz bath and infrared ray therapy was effective in reducing the level of pain and wound healing of episiotomy wound among the postnatal mothers. In that, the sitz bath is more effective in reducing the level of episiotomy pain and wound healing among the postnatal mothers.
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