episiotomy. Second degree perineal laceration during delivery Perineal laceration, rupture or tear as in O70.0, also involving: pelvic floor, perineal muscles, vaginal muscles during delivery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: primiparous woman; aged 18 to 35 years; have a vaginal delivery with mediolateral episiotomy without instrumental delivery and without tears; singleton birth with cephalic presentation; was educated; resident in Gilan; gestational ages between 37 to 42 weeks; child weigh between 2500 to 4000 grams; the lack of diseases such as chronic systemic disorders, cardiovascular, respiratory, coagulation disorders and connective tissue, diabetes, anemia, immunosuppressant, hemophilia, malnutrition and psychological disorders; no allergies to topical drugs; not eclampsia and pre-eclampsia; no rupture of membranes more than 24 hours; no addiction; BMI between 19.8-30 kg/m2; no manual removal of placenta; no fetal anomaly or bedfast to the neonatal unit; not taking the first stage of labor (more than 14 hours) and the second stage of labor (more than 2 hours) and the third stage of labor (more than 30 minutes); not problems with cold therapy such as poor circulation and lower pain sensitivity to cold. Exclusion criteria: do not visit for care; do not use the cooling gel pads and olive oil properly and as directed; not interested to continue to participate in the study; allergic to use olive oil; have a sex in the first 5 days after birth; manipulation of the perineum after episiotomy repair; use drugs on wound healing (anticoagulant, antidepressants, antiepileptic, alcohol, immunosuppressant drugs, antibiotics, chemotherapy) during the study; have a episiotomy hematoma in the first 24 hours after delivery.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intensity of episiotomy pain. Timepoint: before intervention, 12 hours, 5 and 10 days postpartum. Method of measurement: Visual Analogue Scale (VAS).;Wound healing of episiotomy. Timepoint: before intervention, 12 hours, 5 and 10 days postpartum. Method of measurement: REEDA scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
School of Nursing and Midwifery of Shahid Beheshti University of Medical Sciences