Episiotomy pain and wound healing. Second degree perineal laceration during delivery
Conditions
Interventions
Intervention 1: Intervention group: phenytoin sodium, 1% Topical Cream, Once a day.
Mothers were asked the night before sleep, after washing and drying the perineal area once a phalanx of ointment on
Treatment - Drugs
Intervention group: phenytoin sodium, 1% Topical Cream, Once a day.
Mothers were asked the night before sleep, after washing and drying the perineal area once a phalanx of ointment on the affected ar
Intervention group: Honey cream, 30%. Once a day. Mothers were asked the night before sleep, after washing and drying the perineal area once a phalanx of ointment on the affected area is sutured So th
Control group: Placebo, the cream base color and odor as similar to the intervention group. Once a day. Mothers were asked the night before sleep, after washing and drying the perineal area once a pha
Sponsors
?Shahid Beheshti University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Term and Nulliparous Pregnancy; A literate, between 18-35 of age; race Persia; Living in Kashan; a live singleton fetus with cephalic presentation; birth weight between 2500-4000 grams; BMI In the range of 19.8 to 30; The lack of effect on wound healing drugs (anticoagulants, antidepressants, anticonvulsants, alcohol, glucocorticoids, suppression of the immune system, antibiotics and chemotherapy); narcotics and psychotropic drugs; Disturbing lack of healing diseases (chronic, systemic, cardiac, renal, pulmonary, coagulation disorders, immune deficiency, connective tissue disorders, diabetes, anemia, psychiatric disease, hemophilia, depression, malnutrition) and no history of injury, or previous surgery of lesions visible in the perineum (genital warts, hemorrhoids), persistent constipation; Lack PROM more than 18 hours; lack a history of reactions to local anesthetics or lidocaine; absence of bleeding after childbirth; lack of manual removal of the placenta; the absence of perineal hematoma; No manipulation of the perineum after delivery; failure or anomaly NICU baby; for more than 14 hours not take delivery of the first stage, second stage of labor greater than 2 hours to not take, the third stage of labor not take more than half an hour. Exclusion Criteria: Drugs affecting the healing of wounds (anticoagulants, antidepressants, anticonvulsants, alcohol Glkvkvrtykvyydha, suppressing the immune system, antibiotics and chemotherapy) during the study; Not used regularly and as directed cream; creams desired sensitivity; lack of desire to continue participating in the study; having sex in the first five days after birth; coming to the clinic.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Intensity. Timepoint: First 24 hours after delivery (baseline value) - Seven days after the intervention - fourteen days after the intervention. Method of measurement: Pain ruler.;Episiotomy wound healing. Timepoint: First 24 hours after delivery (baseline value) - Seven days after the intervention - fourteen days after the intervention. Method of measurement: Control by improving the perineum (the scale Reeda). | — |
Secondary
| Measure | Time frame |
|---|---|
| Stiffness. Timepoint: First 24 hours after childbirth, the postpartum seventh day, the fourteenth day after delivery. Method of measurement: Questionnaire.;Irritation. Timepoint: First 24 hours after childbirth, the postpartum seventh day, the fourteenth day after delivery. Method of measurement: Questionnaire.;Itching. Timepoint: First 24 hours after childbirth, the postpartum seventh day, the fourteenth day after delivery. Method of measurement: Questionnaire.;Dryness. Timepoint: First 24 hours after childbirth, the postpartum seventh day, the fourteenth day after delivery. Method of measurement: Questionnaire.;Discharge from the wound. Timepoint: First 24 hours after childbirth, the postpartum seventh day, the fourteenth day after delivery. Method of measurement: Questionnaire.;Fever and chills. Timepoint: First 24 hours after childbirth, the postpartum seventh day, the fourteenth day after delivery. Method of measurement: Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMasoumeh Simbar
School of Nursing and Midwifery Shahid Beheshti
Outcome results
None listed