Effect of Applying Crushed Ice Gel Pads on Episiotomy Pain and Wound Healing Among Postpartum Primiparous Women

El-saidy, Tawheda Mohamed Khalefa; Aboushady, Reda M. Nabil; Soliman, Hanan Fawzy Abbas

doi:10.15520/ijnd.v8i07.2223

“…This was done by the researcher by documenting the results of the perineal wound care intervention using the maternity cool gel pad. The hope of the applied management is to prevent infection in the perineal wound caused by wrong knowledge, attitudes and treatment actions (21,22) Postpartum mothers need to be convinced that perineal wounds require a process in the healing process (23). Boyle (2014) states in his scientific work the importance of managing perineal trauma from an early age by implementing muscle contraction and relaxation strategies that aim to increase the revascularization of damaged muscle fibers so as to support the perineal wound healing process.…”

Section: Methodsmentioning

confidence: 99%

Perineal Wound Identification With Maternity Cool Gel Pad (MCGP) Care Interventions

Girsang

¹

,

Elfira

²

,

Siregar

³

2021

JNKI

0

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<em>Postpartum mothers with an indication of episiotomy will experience a higher level of pain. This birth canal trauma is acute and is expected to recover in a short period of time, can be measured, and without serious complications. The aim of this study was to identify the healing process of postpartum maternal perineal wounds. The intervention was carried out on 31 postpartum mothers with the selection using purposive sampling technique. Maternity cool gel pad (MCGP) which was applied to the perineal wound care intervention on the 2nd and 3rd day after delivery showed the wound healing process was observed using the REEDA measuring instrument and analyzed using the T one sample test. The repair of the wound repair scale from the mean REEDA score (10.81 ± 2.98) occurred in all wounds of the study respondents at post intervention (5.32 ± 1.73). Maternity cool gel pad intervention assisted the wound healing process in post intervention data (P <0.005). The results of this study can be indicative of an inflammatory response locally in perineal wounds, but further research is needed to observe the impact of perineal wound healing with a combination of methods that can help evaluate the perineal wound repair process that can be done by mothers independently at home.</em>

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“…Assessment of wound healing was carried out by midwives on the first, third and seventh days postpartum. Assessment of wound healing is carried out by looking at indicators of wound healing using the REEDA standard (redness, edema, ecchymosis, discharge and approximation) (Khalefa & El-Saidy, 2018). For the healing rating scale used by REEDA and the researcher's modification, the value used for the healing scale is 0-15 points.…”

Section: Assessment In the Intervention Group And The Control Groupmentioning

confidence: 99%

Analysis of Red Betel Leaf Tests As A Natural Anti-Infection In Post Partum Mothers

Fratidhina¹,

Mulyati

²

,

Astri

³

et al. 2023

women midwives & midwifery

1

0

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Background: Incidence of infection contributes to maternal mortality. Innovative efforts to treat infection in postpartum mothers continue to be made, including non-pharmacological techniques. The local wisdom of red betel leaves is believed by the community to be able to handle it. The true efficacy of this extraordinary red betel leaf deserves further investigation. The purpose of this study was to assess the effectiveness of red betel on perineal wound healing in postpartum mothers. Methods: This study used the Quasi Experiment with Control Group Design method. The study was conducted on 80 postpartum mothers with perineal wounds degrees 1 to 3. 40 women were included in the intervention group who were given red betel ointment made by researchers from 2 hours to 7 days postpartum. 40 people as the control group were given perineal wound care according to standard. Assessment of wound healing was carried out every day until the 7th day postpartum. Statistical tests used the dependent and independent t-tests to examine differences in healing scores in the two study groups. Results: There was an increase in the average perineal wound healing value in the intervention group which was higher and there was an increase in the average healing value every day, starting from the first day (mean = 9.25), the second day (mean = 11.55), and the seventh day (mean = 12.65) compared to the control group, p value <0.001. On the third day postpartum, the intervention group had the maximum healing value (100%) compared to the control group (52.5%)

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“…Therefore, these rays relax muscles, promote circulation, and provide pain relief [ 18 ]. Recently, studies have shown conflicting findings on the most effective strategies to alleviate pain from episiotomy and improve wound healing [ 19 , 20 ]. Therefore, this study was carried out to compare the effects of dry heat versus moist heat application in reducing perineal pain and promoting episiotomy wound healing among primiparous women.…”

Section: Introductionmentioning

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

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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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Effect of Applying Crushed Ice Gel Pads on Episiotomy Pain and Wound Healing Among Postpartum Primiparous Women

Cited by 6 publications

References 11 publications

Perineal Wound Identification With Maternity Cool Gel Pad (MCGP) Care Interventions

Perineal Wound Identification With Maternity Cool Gel Pad (MCGP) Care Interventions

Analysis of Red Betel Leaf Tests As A Natural Anti-Infection In Post Partum Mothers

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

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