Evaluating the Impact of Sodium Chloride Treatment on the Recovery of Episiotomy Wounds in Postnatal Women at Selected Medical Facilities in Kolar District

By:

SANDHYA V

Volume: 07 | Issue: 01 | Year 2024 | Subscription
International Journal of Medical Surgical Nursing
Received Date: 03/06/2024
Acceptance Date: 03/20/2024
Published On: 2024-03-29
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SANDHYA V Evaluating the Impact of Sodium Chloride Treatment on the Recovery of Episiotomy Wounds in Postnatal Women at Selected Medical Facilities in Kolar District International Journal of Medical Surgical Nursing. 2024; 07(01): -p.
Abstract

The study aimed to evaluate the efficacy of sodium chloride in promoting the healing of episiotomy wounds among postnatal mothers in selected hospitals in Kolar district. It employed a true experimental pre and post-test control group design and utilized a standardized REEDA scale to assess wound healing. A total of 20 postnatal mothers were randomly assigned to either the experimental group, where sodium chloride was applied to the episiotomy wounds, or the control group, which received standard care. The study found a significant decrease in healing scores in the experimental group post-application of sodium chloride compared to pre-application, indicating improved wound healing. Additionally, the control group showed a slight decrease in healing scores, albeit not as significant as the experimental group. Demographic data revealed that most participants were aged 18-22 years, with secondary education being predominant. Primigravida mothers constituted the majority, and the length of episiotomy wounds varied, with the majority being less than 3 cm. Overall, the findings suggest that sodium chloride application may be effective in enhancing episiotomy wound healing. However, further research involving larger sample sizes and longer follow-up periods is warranted to validate these findings and inform clinical practice effectively.

KEYWORDS: sodium chloride, pre and post-test control group, episiotomy wound, Primigravida mothers, healing.

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Citation:

SANDHYA V Evaluating the Impact of Sodium Chloride Treatment on the Recovery of Episiotomy Wounds in Postnatal Women at Selected Medical Facilities in Kolar District International Journal of Medical Surgical Nursing. 2024; 07(01): -p.

Refrences:

  1. Episiotomy. Available online at: https://en.wikipedia.org/wiki/Episiotomy
  2. Gass MS, Dunn C, Stys SJ. Effect of episiotomy on the frequency of vaginal outlet lacerations. J Reprod Med. 1986 Apr;31(4):240-4. PMID: 3712363.
  3. Woretaw E, Teshome M, Alene M. Episiotomy practice and associated factors among mothers who gave birth at public health facilities in Metema district, northwest Ethiopia. Reprod Health. 2021 Jul 2;18(1):142. doi: 10.1186/s12978-021-01194-9. PMID: 34215256; PMCID: PMC8252291.
  4. World Health Organisation (WHO), 2000, Available online at: https://apps.who.int/gb/ebwha/pdf_files/WHA53/ea4.pdf
  5. Cunningham FG, MacDonald PC, and Gant NF, eds. Williams Obstetrics. 18th ed. Norwalk, CT: Appleton and Lange, 1989.
  6. American College of Obstetricians-Gynecologists. ACOG Practice Bulletin. Episiotomy. Clinical Management Guidelines for Obstetrician-Gynecologists. Number 71, April 2006. Obstet Gynecol. 2006 Apr;107(4):957-62. PMID: 16582142.
  7. Marilyn frank Stromberg, Sharon Olsen, instrument for clinical health care research, 2004. Third edition View all formats and editions. Publisher: Jones and Bartlett Publishers, Sudbury, MA, 2004. Available online at: https://search.worldcat.org/title/52595242
  8. Sagar N, Kaur Jindal Research Article Effect of sitz bath in reduction of episiotomy pain and wound healing among postnatal mothers. International Journal of Current Research Vol. 7, Issue, 02, pp.12461-12463, February, 2015.
  9. DC Dutta. Jaypee Brothers Medical Publishers (P) Ltd.; 7th edition (10 March 2016)
  10. Signorello L B, Harlow B L, Chekos A K, Repke J T. Midline episiotomy and anal incontinence: retrospective cohort study BMJ 2000; 320 :86 doi:10.1136/bmj.320.7227.86
  11. David M. Wer erfand den Dammschnitt? Zur Geschichte der Episiotomie [Who invented the episiotomy? On the history of the episiotomy]. Zentralbl Gynakol. 1993;115(4):188-93. German. PMID: 8503239.
  12. Baby centre. Episiotomy: What it is and when it’s needed. Available online at: https://www.babycenter.com/pregnancy/your-body/episiotomy_165
  13. Macarthur AJ, Macarthur C. Incidence, severity, and determinants of perineal pain after vaginal delivery: a prospective cohort study. Am J Obstet Gynecol. 2004 Oct;191(4):1199-204. doi: 10.1016/j.ajog.2004.02.064. PMID: 15507941.
  14. Thacker SB, Banta HD. Benefits and risks of episiotomy: an interpretative review of the English language literature, 1860-1980. Obstet Gynecol Surv. 1983 Jun;38(6):322-38. PMID: 6346168.
  15. Larsson PG, Platz- Christensen JJ, Bergman B, Wallstersson G, Ad Advantage of episiotomy, J gynecolobstet Biol Reprod (pairs), 2006, feb;35(1 supply) 1s 59-
  16. Williams FL, du V Florey C, Mires GJ, Ogston SA. Episiotomy and perineal tears in low-risk UK primigravidae. J Public Health Med. 1998 Dec;20(4):422-7. doi: 10.1093/oxfordjournals.pubmed.a024797. PMID: 9923949.
  17. Komatsu R, Ando K, Flood PD. Factors associated with persistent pain after childbirth: a narrative review. Br J Anaesth. 2020 Mar;124(3):e117-e130. doi: 10.1016/j.bja.2019.12.037. Epub 2020 Jan 17. PMID: 31955857; PMCID: PMC7187795.
  18. Bonder-Adler B, Bodner k, Kimberger O ,Wagenbichler P,Mayerhofer K, Association of episiotomy with the frequency and severity of perineal trauma in women undergoing forceps delivery, journal on reproductive Medicine , 2003 APR, 48(4):239-42.
  19. Enyindah CE, Fiebai PO, Anya SE ,Okpani Episiotomy and perineal trauma prevelance and obstetric risk factors ,Niger journal of medicine ,2000 july–sep,16(3);245-5
  20. Noronha JA. Effectiveness of teaching on episiotomy & perineal care among primipara women of selected hospitals in Karnataka. Nurs J India. 2004 May;95(5):105-6. PMID: 15553882.
  21. Faruel-Fosse H. Soins apportés à l’épisiotomie en suites de couches [Post-delivery care after episiotomy]. J Gynecol Obstet Biol Reprod (Paris). 2006 Feb;35(1 Suppl):1S52-1S58. French. PMID: 16495827.
  22. Hur MH, Han SH. [Clinical trial of aromatherapy on postpartum mother’s perineal healing]. Taehan Kanho Hakhoe Chi. 2004 Feb;34(1):53-62. Korean. doi: 10.4040/jkan.2004.34.1.53. PMID: 15314339.
  23. Roma NZH, Essa RM, Rashwan ZI, Ahmed AH. Effect of Dry Heat Application on Perineal Pain and Episiotomy Wound Healing among Primipara Women. Obstet Gynecol Int. 2023 Jan 4;2023:9572354. doi: 10.1155/2023/9572354. PMID: 36643188; PMCID: PMC9833924.
  24. Platt LD, Angelini DJ, Paul RH, Quilligan EJ. Nurse-midwifery in a large teaching hospital. Obstet Gynecol. 1985 Dec;66(6):816-20. PMID: 4069482.