Perineal wound care. Disruption of perineal obstetric wound
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: Full term pregnancy; being nulliparous; no special diet;age 18-35 years; no specific diseases (cardiovascular, hepatic, renal; diabetes; coagulopathy diseases;anemia, no history of skin diseases; persistent constipation and hemorroids); mul-nutrition;not taking specific drugs ( such as anticoagulant;anti depressants;anti epileptic;antibiotics;immuno-suppressive drugs); no smoking and alcohol and drugs; having literacy; non- obese (BMI<29; according to the same scale);anterior fetal presentation;Episiotomy on gynecological bed;Episiotomy repair by chromic catgut sutures after prep and drep using the same techniques and in less than 30 minutes;visible injury or previous surgery in the perineal region;normal pregnancy;subjects' willingness to participate in the study; Exclusion criteria: Hematomas or infection after the delivery; history of perineal and vaginal surgery;mismatch between maternal pelvis and fetal size (based on pelvis examination);disorders in labor (first stage of labor after 14 h;the second stage more than 2 h); prolonged rupture of amniotic sac (more than 18 h); manual placenta removal;manipulation of the perineum; excessive bleeding after childbirth; need for neonated resuscitation; extended Episiotomy;use of delivery aids;non- persistent use of drugs; women who decide to withdraw from the research.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Episiotomy wound healing. Timepoint: 24 hours and 10 days after delivery. Method of measurement: REED SCALE (Redness, echimosses, edema discharge, aproximation). | — |
Secondary
| Measure | Time frame |
|---|---|
| Episiotomy pain relief. Timepoint: 24 hours and 10 days after intervention. Method of measurement: VAS scale(vissual analog scale). | — |
Countries
Iran (Islamic Republic of)