The Effect of Warm Compress Bistage Intervention on the Rate of Episiotomy, Perineal Trauma, and Postpartum Pain Intensity in Primiparous Women with Delayed Valsalva Maneuver Referring to the Selected Hospitals of Shiraz University of Medical Sciences in 2012-2013

2016 ◽  
Vol 29 (2) ◽  
pp. 79-84 ◽  
Author(s):  
Marzieh Akbarzadeh; ◽  
Faride Vaziri ◽  
Mahnaz Farahmand ◽  
Zahra Masoudi ◽  
Sedigheh Amooee ◽  
...  
2020 ◽  
Vol 16 (2) ◽  
pp. 145-151
Author(s):  
Arezoo Shayan ◽  
Hadis Sourinezhad ◽  
Fariba Barzegar ◽  
Hassan Ahmadinia ◽  
Zahra Masoumi ◽  
...  

Background: Episiotomy is one of the most common surgical procedures in the world that is associated with perineal pain and can be exposed to infection, or might be healed with delay. Objective: The aim of this study was to investigate the effects of honey-olive oil combination on episiotomy wound healing and pain relief in primiparous women. Methods: This single-blind, parallel randomized clinical trial (IRCT20120215009014N208) was conducted on 80 primiparous women. They were allocated randomly to each of the groups through random allocation rule: 40 in honey-olive oil group and 40 in the control group. Every 12 hours and for 14 days, the treatment group used about 1 inch of the cream on the wound area. Pain intensity and wound healing were measured by REEDA Scale and Visual Analogue Scale on days 7, 10, and 14 in both groups. The statistical analyst was not informed about the allocation of the groups. A significant level of 0.05 was considered. Results: There was a significant difference between healing score and pain intensity between the two groups on 7th, 10th and 14th postpartum days (p <0.05). Wound healing occurred much faster (Scores on days 7,10, and 14 were 11.25±2.13, 7.47±1.96 and 4.95±1.53 in the control group and 4.45±1.25, 2.32±.69 and 10±.30 in the intervention group, p <0.05). Moreover, pain intensity was significantly relieved in those who used Honey and olive oil cream (the scores were 5.6750±1.43, 3.3500±1.52, 2.2250±1.34 in the control group and 1.9750±1.52, .2250±.57, .0250±.15 in the intervention group, p<0.05). Conclusion: Using honey and olive oil combination improves episiotomy wound healing and also relieves its’ associated pain.


Author(s):  
Fatemeh Azarkish ◽  
Roksana Janghorban ◽  
Shirin Bozorgzadeh ◽  
Fariba Merbalouchzai ◽  
Massoumeh Razavi ◽  
...  

Author(s):  
Maasumeh Kaviani ◽  
Sara Sepasi ◽  
Sara Azima ◽  
Masoumeh Emamghoreishi ◽  
Nasrin Asadi ◽  
...  

Objective: This study aimed to assess the impact of olive leaf extract ointment on pain intensity and early maternal complications in primiparous women.Methods: This randomized clinical trial was conducted on 90 primiparous women. The participants were randomly divided into three groups each containing 30 women. Groups A, B, and C used olive leaf extract ointment, placebo ointment, and betadine solution at the episiotomy area three times a day for 10 d. Improvement of the episiotomy wound was evaluated using REEDA scale, and pain intensity were assessed through Visual Analogue Scale (VAS). The evaluations were performed 4 h and 3, 7, 10, and 14 d after delivery.Results: The results showed a significant difference between the olive leaf extract ointment group and the other groups regarding the improvement of episiotomy wound (p<0.001). Pain intensity also significantly was reduced in this groups 10 d after delivery (p=0.029).Conclusion: Olive leaf extract ointment was relatively effective in reduction of pain intensity and early maternal complications resulting from an episiotomy.


2017 ◽  
Vol 30 (108) ◽  
pp. 52-59
Author(s):  
M Babaei ◽  
R Jalali ◽  
A Jalali ◽  
M Rezaaei ◽  
◽  
...  

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052092039
Author(s):  
Yong-jiang Mao ◽  
Zhi-juan Zheng ◽  
Jie-hua Xu ◽  
Jing Xu ◽  
Xin-ling Zhang

Objective This study aimed to investigate pelvic floor biometry of asymptomatic primiparous women compared with nulliparous women by using four-dimensional transperineal ultrasound (4D TPUS). Methods From July 2015 to February 2017, 722 women were enrolled and divided into the nulliparous group (n = 292), the vaginal delivery group (n = 272), and the elective cesarean section group (n = 158). The ultrasound parameters of 4D TPUS were compared among the groups. Results The vaginal delivery group had a significantly greater bladder neck descent (η2 = 0.04), retrovesical angles on Valsalva maneuver (η2 = 0.01), urethral rotation (η2 = 0.01), levator hiatus area on Valsalva maneuver (η2 = 0.02), urethral inclination angle (η2 = 0.02), and funneling of the proximal urethra (η2 = 0.11) than the other two groups. Comparison of the two modes of delivery (vaginal delivery and cesarean section) also showed significant differences in the above-mentioned ultrasound parameters. Conclusion There are significant differences in pelvic floor biometry between asymptomatic primiparous women and nulliparous women, as well as between women with vaginal delivery and those with elective cesarean section.


2014 ◽  
Vol 48 (spe) ◽  
pp. 39-44 ◽  
Author(s):  
Adriana Amorim Francisco ◽  
Mirian Hiromi Kinjo ◽  
Caroline de Souza Bosco ◽  
Renata Luana 
da Silva ◽  
Edilaine de Paula Batista Mendes ◽  
...  

Objective To identify the association between perineal trauma and pain in 473 primiparous women. Method Cross-sectional study in which pain was measured by the numerical pain scale (0 to 10 - 0 being no pain and 10 maximal pain). Results The prevalence and mean intensity of pain were 33.0% and 4.7 points (standard deviation = 2.0) in the numeric scale, respectively. Episiotomy represented the most frequent trauma (46.7%). The occurrence and intensity of the pain were associated with perineal trauma and postpartum time. Having perineal trauma tripled the chance of pain. Each hour elapsed following the birth reduced the chance of pain by 4.8%. Conclusion Primiparous women are subject to a high frequency of perineal trauma, with episiotomy being the most prominent. Perineal pain affects approximately one-third of primiparous women and is associated with the postpartum time and perineal traumas.


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