Analysis of Pain Relief in Episiotomy Wound With Infrared Radiation Versus Routine Perinatal Care Among Postnatal Mothers in Tamilnadu, March 2017

Gomathi, Mariappan; Kumar, Thanga Poosamy Jaya; Jayaseeli, Periyaswamy

doi:10.14260/jemds/2018/23

“…They concluded that the episiotomy wound healing is faster in the experimental group as the day progresses than in the control one. In addition, the present finding is consistent with a study conducted by Gomathi et al [ 25 ] who revealed that infrared light application was effective in enhancing wound healing among postnatal mothers. Moreover, it is in accordance with a previously mentioned study by Rani [ 26 ]; who reported a significant decline in the mean wound healing score after infrared radiation therapy.…”

Section: Discussionsupporting

confidence: 93%

“…The present finding is also consistent with the study done by El-Lassy and Madian [ 24 ]; who found that the pain mean score was statistically significantly lower after the application of infrared lamp therapy among the study group than the control one. In addition, Gomathi et al [ 25 ] reported that the infrared light application was effective in relieving pain levels among postnatal mothers. They added that Infrared rays have a therapeutic effect in aggregating the blood supply and releasing the pain.…”

Section: Discussionmentioning

confidence: 99%

Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women

Roma

¹

,

Essa

²

,

Rashwan

³

et al. 2023

Obstetrics and Gynecology International

1

0

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Background. Women who undergo perineal episiotomy can be affected by several complications such as bleeding, infection, perineal pain, dyspareunia, reduction of sexual desire, as well as urinary and anal incontinence. Perineal pain related to episiotomy has been reported to interfere with women’s daily activities postpartum and can prevent proper breastfeeding, proper rooming-in, and maternal-infant bonding. The purpose of this study was to determine the effect of dry heat application on perineal pain and episiotomy wound Healing among primipara women. Method. A quasi-experimental, two-group, pre-post-test research study was conducted at the postnatal inpatient ward and the outpatient clinic of the El-Shatby Maternity University Hospital in Alexandria. A sample of 100 parturient women was divided into the following two groups at random: dry heat and moist (control) heat. Women in the moist heat group were advised to sit in a basin (tub) of warm water for 10 minutes, while those in the dry heat group were instructed to set an infrared light (230 volts) at a distance of 45 cm from the perineum after 12 hours post episiotomy. Both interventions were applied twice a day for ten consecutive days. They evaluated the severity of their perineal pain at baseline and repeated it on the 5th and 10th days after obtaining the interventions while the episiotomy wound healing was assessed on the 5th and 10th days. Results. It was discovered that the dry heat group had a significantly improved episiotomy wound healing as regards perineal redness, edema of the perineal area, ecchymosis, wound discharge, and approximation of wound edges on the 5th ( P < 0.001 , P < 0.001 , P < 0.007 , P < 0.003 , and P < 0.001 , respectively) and 10th day after intervention ( P < 0.001 , P < 0.001 , P < 0.001 , P < 0.005 , and P < 0.001 , respectively) than the moist heat group. The primipara women had significantly lower perineal pain intensity in the dry heat group on the 5th and 10th days after intervention than in the moist heat group (MH P < 0.001 for the dry heat group and MH P = 0.004 for the moist heat group). Conclusion. The application of dry heat promoted episiotomy wound healing among primipara women and reduced their perineal pain during early postpartum days than moist heat.

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“…They have a main responsibility in affording care and health attentiveness to women during gestation, delivery, and post-partum phase and to advance the maternal and neonatal outcomes throughout inhibiting and/or plummeting problems during or after labor. [13,14] A wide variety of practices are carried out in this area. However, nurse and midwives must comprehend the relevance of their care and potential influence, both positive and negative of advocated treatment in wound healing.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, it becomes their responsibility to identify the ways of preventing and reducing maternal morbidity as well as to identifying the cost effective measures in relieving pain. [13,14]…”

Section: Introductionmentioning

confidence: 99%

The effect of infrared lamp therapy on episiotomy wound restorative besides pain relief among post-partum women

El-Lassy

¹

,

Madian²

2018

JNEP

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Pregnancy and labor are exceptional occasions in women’s lives. Post-delivery is a very decisive period for compassionate woman who had under gone episiotomy which is a throbbing and disquiet procedure during this time. So, the aim of this study was to appraise the effect of infrared lamp therapy on episiotomy wound restorative besides pain relief among post-partum women. Post-partum women who apply infrared lamp therapy on episiotomy display faster wound restorative besides pain relief than those who do not. A non-randomized controlled clinical trial was conducted on 80 post-partum mothers having normal vaginal delivery with episiotomy who were admitted in Maternity ward at the National Medical Institute of Damanhour City. Women were randomly allocated in two groups. Where, every odd number was assigned to control group (receiving only normal routine care) and every even number was assigned to study group (applying infrared lamp therapy and normal routine care). Data were collected through a structured interview schedule, observational checklist for REEDA Scale and self-reported Numerical Pain Rating Scale. Restorative takes place within 4 days and the REEDA total Score was statistically significant. So, the study concluded that, infrared lamp therapy is an appropriate way of management episiotomy wound among women at puerperium. The study recommended that joining infrared therapy as a main part of post-partum instructions for the women for its imperative role in improving quality of life during post-partum period.

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“…However, puerperal mothers who received infrared lamp therapy on their episiotomy wound experienced faster wound healing and less pain than those who took a warm sitz bath. The application of infrared lamp therapy has a significant effect on reducing episiotomy pain and promoting wound healing among postnatal mothers [ 32 ]. The primary goal of medical treatment in the modern era, when medical care and treatment expenses are increasing, is to offer affordable care to patients.…”

Section: Reviewmentioning

confidence: 99%

A Review of Episiotomy and Modalities for Relief of Episiotomy Pain

Choudhari¹,

Tayade²,

Venurkar³

et al. 2022

Cureus

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Episiotomy is a surgically planned incision of the perineum and the posterior vaginal wall in the second stage of labour. It is one of the most commonly performed surgical procedures in the world. In episiotomy, the vaginal orifice is made larger to facilitate the birth of a baby. The postnatal period is very crucial in every mother's life, especially those who had a vaginal delivery and underwent episiotomy. Maternal benefits of episiotomy include reduced risk of perineal trauma, subsequent pelvic floor dysfunction and prolapse, urinary incontinence, faecal incontinence, and sexual dysfunction. Potential benefits for the foetus are thought to include a shortened second stage of labour. However, an episiotomy can also lead to potential adverse consequences, including the extension to a third-or fourth-degree tear, anal sphincter dysfunction, and dyspareunia. Different approaches can be adopted to reduce these complications in the postpartum period, including cleanliness, cold packs, sitz baths, kegel exercises, perineal care, and topical application of dry heat-infrared lamp therapy. Of all these approaches, infrared lamp therapy and sitz baths are the two most effective and commonly used for episiotomy pain relief and wound healing. In infrared lamp therapy, radiant heat or infrared rays are used to produce heat that is then applied to the episiotomy wound to facilitate pain relief and wound healing, while a sitz bath is a moist heat application process that is also effective for episiotomy pain relief and wound healing. This review aims to offer the most thorough understanding of episiotomy, its current concept, and episiotomy pain relief, with a particular focus on infrared lamp therapy and sitz baths.

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Analysis of Pain Relief in Episiotomy Wound With Infrared Radiation Versus Routine Perinatal Care Among Postnatal Mothers in Tamilnadu, March 2017

Cited by 3 publications

References 4 publications

Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women

Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women

The effect of infrared lamp therapy on episiotomy wound restorative besides pain relief among post-partum women

A Review of Episiotomy and Modalities for Relief of Episiotomy Pain

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