THESIS ON EPISIOTOMY WOUND HEALING

Results This study compared evaluations of perineal healing after episiotomy among 54 postpartum women; healthcare providers used the REEDA scale to obtain these evaluations. Multivariate analysis PCA in Compositae biocompounds class. It is one of the most common surgical procedures on women whose prevalence differs in various geographical regions. The evaluations conducted by the main researcher and by one judge were compared for all scale items. Of these, three women did not accept to participate in the study, and four women were excluded for using ice packs or anti-inflammatory medicines or a local analgesic solution Andolba r in the perineal region. Joseph Delee was the first person to suggest routine episiotomy for all primiparous women and most multiparous women. Discharge was observed within 40 hours after birth 3.

The inability of professionals to differentiate normal and abnormal wound healing, associated with the millimetre dimensions of REEDA scale to assess the approximation of the wound edges might justify the lower value of the Kappa coefficient observed in this assessment. It includes five items related to the healing process: Each professional evaluated a mean of 10 women from 6 to 48 hours after birth. Table 1 shows that the two groups were similar in terms of some individual and social factors such as mother’s age, education, job and income and some obstetric characteristics. In case using additional sedatives by mothers, the number was written in related forms. The marginal agreement in the oedema and ecchymosis evaluation, obtained in this study, highlights the complexity of the application of the REEDA scale resulting from the precision with which they are assessed. Despite the importance of finding the best strategies to provide effective prenatal care and reduce postpartum complications, limited studies with contradictory results have been performed in this field.

The Effect of Chamomile Cream on Episiotomy Pain in Primiparous Women: A Randomized Clinical Trial

Published online Mar 1. For nearly 15 days, the professionals used the scale to assess the postpartum perineal condition during physical examination in the rooming-in unit.

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The evaluation of the oedema and ecchymosis items, however, were unreliable. This study aimed to assess the inter-observer reliability of the REEDA scale as a tool for the quantitative assessment of perineal healing after episiotomy.

In the fourth evaluation, episiootmy assessment of all items displayed excellent or good agreement among the evaluators. Data were collected between June and October The presence of the suture stitches, in these occasions, ensured the coaptation of the wound edges.

thesis on episiotomy wound healing

Written informed consents were then received from eligible primiparous women who referred to educational-treatment centers in Tabriz for delivery. They had to rub 0.

thesis on episiotomy wound healing

At the fourth assessment, the results were obtained from the evaluation of 43 women, since that 11 postpartum women were lost in the follow-up. Author information Article notes Copyright and License information Disclaimer. The aim of this study is to analyse the reliability of the scale REEDA as a tool for the clinical assessment of perineal healing after episiotomy. Moreover, since the sutures are placed through the subcutaneous tissue in the continuous method, they do not stimulate nerve terminations of the skin.

Limitations of this study included a small sample size, which was not calculated to detect a difference when comparing the evaluation of the judges. The reliability of the selection form and daily data entry form were confirmed. Women were included in the study after signing an informed consent form. Table 3 – Comparison of the means and standard deviation SD of the REEDA scale items between the main researcher and the evaluator at the third h and fourth days evaluations.

The Effect of Chamomile Cream on Episiotomy Pain in Primiparous Women: A Randomized Clinical Trial

The marginal agreement in the oedema and ecchymosis evaluation, obtained in this study, highlights the complexity of the application of the REEDA scale resulting from the precision with which they are assessed. After nearly two weeks, the cell matrix formation and tissue remodelling is generally complete, even though this process can take several months This study was approved and funded by the deputy of research of Mashhad University of Medical Sciences Project number: Reliability assessment and approaches to determining agreement between measurements: Also educational pamphlet was given to them.

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Only 61 women met the inclusion criteria for the study. Perineal tear assessment and the development of the peri-rule tm [ Google Scholar ]. The mean total score of the items was similar in this assessment Table 3. The reliability includes the degree of agreement between observers in simultaneous and independent assessments in relation to the scores of an instrument Journal List J Caring Sci v. Efficacy and safety of topical Matricaria chamomilla L chamomile oil for knee osteoarthritis: Table 1 – Agreement on total score of the REEDA scale at the four assessments between the main researcher and evaluator.

thesis on episiotomy wound healing

Moreover, it might be difficult to distinguish between the occurrence of hyperaemia and ecchymosis, even when the evaluators are trained 7. Study of factors associated with postoperative pain following episiotomy in primiparous women at Mashhad Ommolbanin Hesling in Omitting variables of the study were evaluated on 7 th10 thand 14 th days after delivery.

Journal of Ardabil University of Medical Sciences. A higher score indicates a greater level of tissue trauma.

Women were only included if they had no cardiovascular problems, diabetes, anemia, bleeding after delivery, and manual ejection of placenta. The difference in the mean total score was 0.