The Effect of Two Different Methods on The Healing Process in Primiparous Women With Epısiotomy: A Randomized Controlled Study


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Authors

  • Sevil GÜNER
  • Serap ÖNER HAKKARİ ÜNİVERSİTESİ
  • Esin ÇEBER TURFAN
  • Birsen KARACA SAYDAM
  • Ahmet Mete ERGENOĞLU

DOI:

https://doi.org/10.5281/zenodo.10049181

Keywords:

Episiotomy, wound healing, vaginal delivery, midwifery care

Abstract

This study was designed as a randomized controlled study to determine the effect of two different methods (maintenance with normal water and maintenance with povidone iodine) on the wound healing process used in episiotomy of vaginal delivery primiparous women. The population of the study was 120 primiparous women giving vaginal birth with episiotomy at the University Obstetrics and Gynecology Clinic. The sample size of the study was 120, for using water (60) and for using povidone iodine (60). The data were collected by the researcher using face-to-face interview technique. The participant presentation form and the REEDA Scale were used as data collection tools. The average age of the women participating in the study was 25±5. 36% of the women participated to the study. Of the women in the group, 40% are middle school graduates and 81% are housewives. The women who took part in the study were in the 4th hour, 24-48. as a result of evaluations of REEDA scoring between the hours and the 7th day; There was no statistically significant difference between the groups that performed episiotomy treatment with water and those who treated with betadine (p>0.05) in terms of improvement of episiotomy wound. Based on the results of the study, it is thought that cooperation with the relevant units will be possible in terms of episiotomy, in which water which is easy to use and cheap according to betadine can be preferred.

References

American College of Nurse-Midwives. (2012). Supporting Healthy and Normal Physiologic Childbirth: A Consensus Statement by the American College of Nurse-Midwives, Midwives Alliance of North America, and the National Association of Certified Professional Midwives. Journal of Midwifery & Women’s Health, 57(5): 529-532. doi:10.1111/j.1542-2011.2012.00218.x (Available from: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1542-2011.2012.00218.x)

Barjon K, Mahdy H. Episiotomy. (2021). [Updated 2021 Feb 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546675/.

Behmanesh F, Aghamohammadi A, Zeinalzadeh M, Khafri S. (2013). Effects of olive oil sitz bath on improvement of perineal injury after delivery. Koomesh, 14:309-15.

Birgili, F. (2020). Doğum yapan kadınların doğum sonu konforu ve etkileyen faktörler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 23(3), 351-360.

Çevik, A., & Avcıbay, B. (2018). Ebe Liderliğinde Postpartum Bakım. Ebelik ve Sağlık Bilimleri Dergisi, 5(1), 37-45.

Çobanoğlu, A., & Şendir, M. (2019). Epizyotomi Bakımında Kanıta Dayalı Uygulamalar. Florence Nightingale Hemsirelik Dergisi, 27(1), 48.

Dale A, Cornwall S. (1994). The Role Of Lavender Oil İn Relieving Perineal Discomfort Following Childbirth: A Blind Randomized Cdntrolled Trial. Journal Of Advanced Nursing, 19:89-96.

Davidson N. (1974). REEDA: evaluating postpartum healing. J Nurse Midwifery, 19:6-8.

Demir, Z.B., Dinç H., & Günaydın, S. (2021). Perineal Travma Postpartum Dönemde Cinsel Yaşamı Etkiler mi?. KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi, 2(3), 135-146.

Dereli Yılmaz S, Vural G, Bodur S. (2010). Epizyotomi bakımında serum fizyolojik ve rivanol’un iyileşme sürecine etkisi. Trakya Üniversitesi Tıp Fakültesi Dergisi 27(2): 172-177.

Durmaz A, Buğdaycı R. (2013). Epizyotomi İyileşmesini Etkileyen Faktörler. Turkish Journal of Public Health 11: 72-85.

Faraji, A., Aghdaki, M., Hessami, K., Hosseinkhani, A., Roozmeh, S., Asadi, N., ... & Foroughinia, L. (2021). Episiotomy wound healing by Commiphora myrrha (Nees) Engl. and Boswellia carteri Birdw. in primiparous women: A randomized controlled trial. Journal of Ethnopharmacology, 264, 113396.

Felina, M., & Armi, Y. (2021). Natrıum Chloride or High Level Disinfection Water: What’s Best For Perineal Wound Healing? BLOSSOM Journal of Midwifery, 3(1): 33-39.

Fouelifack, F. Y., Eko, F. E., Ko’A, C. O. V. E., Fouedjio, J. H., & Mbu, R. E. (2017). Prise en charge des plaies du périnée en post partum: faut-il prescrire systématiquement un antibiotique?. Pan African Medical Journal, 28(1), 125-125.

Kartal, B., Özhan, T., & Cırık, M. (2014). Primipar kadınların epizyotomi bakımına ilişkin uygulamaları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 3(4), 1056-1066.

Kohli K, Ali J, Ansari MJ, Raheman Z. Curcumin. (2005). A Natural Antiinflammatory Agent. Indian Journal of Pharmacology, 37: 141-7.

Kurak, M., Ateş, N. A., & Küğcümen, G. (2019). İlk Doğumu Olan Lohusaların Epizyotomi Bakımı. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 4(2), 45-49.

Sançar, B., & İlhan, S. E. (2022). Epizyotomi ve sezaryen insizyonlarında yara iyileşmesinin reeda ölçeği ile değerlendirilmesi. Göbeklitepe Sağlık Bilimleri Dergisi, 5(7), 75-87.

Sarbaz, Z., Yazdanpanahi, Z., Hosseinkhani, A., Nazari, F., & Akbarzadeh, M. (2019). The effect of sitz bath of hydro-alcoholic extract of myrrh gum on episiotomy wound healing in nulliparous women. Journal of family & reproductive health, 13(2), 89.

Sharifi N, HatamiManesh Z, NaharSH,Rezaei N, Namjouyan F, Momenian S. (2017). Effect of Scrophulariastriata plant on episiotomy wound healing in primiparous women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 20:56-60.

Taleb, S., & Saeedi, M. (2021). The effect of the Verbascum Thapsus on episiotomy wound healing in nulliparous women: a randomized controlled trial. BMC Complementary Medicine and Therapies, 21(1), 166.

Tay SK, Soong SL, Choo BM. (1999). Is routine procaine spirit application necessary in the care of episiotomy wound? Singapore Med J, 40:581-3.

Türkiye Nüfus ve Sağlık Araştırması Temel Bulgular (2018). İlk doğumda anne yaşı. s:3. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü Ankara, Türkiye. Erişim adresi: http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/2018_TNSA_Ozet_Rapor.pdf

Toker Z, Eroğlu K. (2005). Epizyotomi bakımında kullanılan iki farklı yöntemin yara iyileşme sürecine etkisi. Hacettepe Üniversitesi Hemşirelik Yüksekokulu Dergisi 49-61.

Üstünsöz A. Epizyotomi iyileşmesinde sıcak ve soğuk uygulamaların etkisi. (1996). [Yüksek Lisans Tezi] Ankara: GATA Sağlık Bilimleri Enstitüsü Cerrahi Hastalıkları Hemşireliği Anabilim Dalı.

Vakilian K, Atarha M, Bekhradi R, Ghebleh F, Hatami Z, Ceraj A. (2008). The effect of lavender in care of postpartum episiotomy wounds. J Shahrekord Univ Med Sci,10:63-9.

World Health Organization (WHO) (2015). Recommendations for Prevention and Treatment of Maternal Peripartum Infections. Geneva:

World Health Organization; 2015. Executive summary. Available from: https://www.ncbi.nlm.nih.gov/books/NBK327084/

World Health Organization (WHO) (2018). WHO recommendation on episiotomy policy. 1-13. who.int/rhl/topics/preconception-pregnancy-childbirth-and-postpartum-care/care-during-childbirth/care-during-labour-2nd-stage/who-recommendation-episiotomy-policy-0

Yanık, N. T., & Ertem, G. (2020). Epizyotomi Sonrası Perineal Ağrının Tedavisinde Kullanılan Nonfarmokolojik Yöntemlerin Sistematik Açıdan İncelenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(2), 195-208.

Yıldız Karaahmet, A., & Yazıcı, S. (2017). Epizyotomide Güncel Durum. Sağlık Bilimleri ve Meslekleri Dergisi/Journal of Health Sciences and Professions, 4(1), 57-63. https://doi.org/10.17681/hsp.270072

Published

2023-10-28

How to Cite

GÜNER, S., ÖNER, S., ÇEBER TURFAN, E., KARACA SAYDAM, B., & ERGENOĞLU, A. M. (2023). The Effect of Two Different Methods on The Healing Process in Primiparous Women With Epısiotomy: A Randomized Controlled Study. GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 8(4), 1175–1183. https://doi.org/10.5281/zenodo.10049181

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