Naglaa Zaki Hassan Roma, Rasha Mohamed Essa, Zohour Ibrahim Rashwan, Afaf Hassan Ahmed
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引用次数: 1
Abstract
Background: Women who undergo perineal episiotomy can be affected by several complications such as bleeding, infection, perineal pain, dyspareunia, reduction of sexual desire, as well as urinary and anal incontinence. Perineal pain related to episiotomy has been reported to interfere with women's daily activities postpartum and can prevent proper breastfeeding, proper rooming-in, and maternal-infant bonding. The purpose of this study was to determine the effect of dry heat application on perineal pain and episiotomy wound Healing among primipara women.
Method: A quasi-experimental, two-group, pre-post-test research study was conducted at the postnatal inpatient ward and the outpatient clinic of the El-Shatby Maternity University Hospital in Alexandria. A sample of 100 parturient women was divided into the following two groups at random: dry heat and moist (control) heat. Women in the moist heat group were advised to sit in a basin (tub) of warm water for 10 minutes, while those in the dry heat group were instructed to set an infrared light (230 volts) at a distance of 45 cm from the perineum after 12 hours post episiotomy. Both interventions were applied twice a day for ten consecutive days. They evaluated the severity of their perineal pain at baseline and repeated it on the 5th and 10th days after obtaining the interventions while the episiotomy wound healing was assessed on the 5th and 10th days.
Results: It was discovered that the dry heat group had a significantly improved episiotomy wound healing as regards perineal redness, edema of the perineal area, ecchymosis, wound discharge, and approximation of wound edges on the 5th (P < 0.001, P < 0.001, P < 0.007, P < 0.003, and P < 0.001, respectively) and 10th day after intervention (P < 0.001, P < 0.001, P < 0.001, P < 0.005, and P < 0.001, respectively) than the moist heat group. The primipara women had significantly lower perineal pain intensity in the dry heat group on the 5th and 10th days after intervention than in the moist heat group (MHP < 0.001 for the dry heat group and MHP = 0.004 for the moist heat group).
Conclusion: The application of dry heat promoted episiotomy wound healing among primipara women and reduced their perineal pain during early postpartum days than moist heat.
背景:接受会阴会阴切开术的妇女可能会受到一些并发症的影响,如出血、感染、会阴疼痛、性交困难、性欲减退以及尿失禁和肛门失禁。据报道,会阴切开术相关的会阴疼痛会干扰妇女产后的日常活动,并可能妨碍适当的母乳喂养,适当的房间和母婴关系。本研究的目的是确定干热应用对初产妇会阴疼痛和会阴切口愈合的影响。方法:在亚历山大市El-Shatby妇产大学医院的产后住院病房和门诊进行准实验、两组、前后测试研究。将100名产妇随机分为以下两组:干热和湿热(对照)。湿热组的妇女被建议坐在温水盆(浴缸)中10分钟,而干热组的妇女被指示在会阴切开术12小时后,在距离会阴45厘米的地方设置红外线灯(230伏)。两种干预措施每天两次,连续10天。他们在基线时评估会阴疼痛的严重程度,并在干预后的第5天和第10天重复评估,并在第5天和第10天评估会阴切开伤口愈合情况。结果:干热组在干预后第5天(P < 0.001, P < 0.001, P < 0.007, P < 0.003, P < 0.001)和第10天(P < 0.001, P < 0.001, P < 0.001, P < 0.001, P < 0.005, P < 0.001)与湿热组相比,在会阴红肿、会阴部水肿、瘀斑、创面渗出、创面边缘逼近等方面均显著改善了会阴切口愈合。干热组初产妇在干预后第5、10天的会阴部疼痛强度显著低于湿热组(干热组MH P < 0.001,湿热组MH P = 0.004)。结论:与湿热相比,干热能促进初产妇会阴切口愈合,减轻产后早期会阴疼痛。
期刊介绍:
Obstetrics and Gynecology International is a peer-reviewed, Open Access journal that aims to provide a forum for scientists and clinical professionals working in obstetrics and gynecology. The journal publishes original research articles, review articles, and clinical studies related to obstetrics, maternal-fetal medicine, general gynecology, gynecologic oncology, uro-gynecology, reproductive medicine and infertility, reproductive endocrinology, and sexual medicine.