THESIS ON EPISIOTOMY WOUND HEALING

In the present study, the rates of episiotomy healing during hours and on the 10 th day after delivery were insignificantly different between the two groups with continuous and interrupted sutures. Int J Nurs Stud. It is one of the most common surgical procedures on women whose prevalence differs in various geographical regions. Adopting protocols with well-defined criteria is essential for systematically assessing and treating injury. Data was analyzed by SPSS ver. Mothers completed short-form McGill Pain Questionnaire to assess episiotomy pain.

The less experienced professionals displayed more uncertainty in the application of the scale Evaluating the effect of oral bromelain pineapple on episiotomy wound healing in primiparus women. Most women defined their skin colour as white or mixed Despite the effects of perineal healing complications on maternal recovery, the prevalence of these morbidities is poorly known, mainly as a consequence of the difficulty of healthcare professionals to identify them in clinical practice. The less experienced professionals displayed more uncertainty in the application of the scale Reliability assessment and approaches to determining agreement between measurements:

Consequently, in this study, this item was assessed only regarding its area when a unilateral occurrence prevented a full evaluation.

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.

These results indicate the need for further research to redefine the criteria for episiotoomy those items.

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

Continuous versus interrupted sutures for repair of episiotomy or second-degree perineal tears: The second phase of the formalin test is partly due to the inflammation process.

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Adopting protocols with well-defined criteria is essential for systematically assessing episiotomu treating injury.

thesis on episiotomy wound healing

A higher score indicates a greater level of tissue trauma. A greater agreement between the evaluations provided by the professionals was considered greater reliability. Escola de Enfermagem Av. The reliability analysis investigated the degree of agreement between the observers’ evaluations.

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

Randomized controlled clinical trial on two perineal trauma suture techniques in normal delivery. A higher score indicates a greater level of tissue trauma. Therefore, there were no statistically significant differences between the two groups such factors. A downward continuous suture was also used to unite the superficial fascia. A tool for assessing perineal ln.

Repeated measures of a given condition, often undertaken by different professionals, should agree well enough in order to allow comparisons and to identify real change in an individual condition when it occurs Int J Nurs Stud.

Of the five items of the REEDA scale, the hyperaemia, secretion and coaptation of the edge wound items displayed more consistent ratings. A reliable instrument for assessing perineal healing is valuable to nurse-midwives, midwives and other caregivers, as a concise evaluation tool may help facilitate measures to improve perineal care.

At the second evaluation, the mean values of the ecchymosis, discharge and coaptation items were similar.

Therefore, the required time for repairing in the continuous method was almost one minute less than the other method. Birth position, fundal pressure, guided pushing, birth weight, perineal management manoeuvres during labour and suture material and technique might also influence postpartum perineal pain, as these parameters influence the rates and severity of spontaneous perineal trauma and episiotomies 4 – 5. However, in 9 cases there was difficulty in the oedema classification, and there was difficulty in 4 cases of ecchymosis.

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Therefore, 54 women participated in the study. Discharge was observed within 40 hours after birth 3. Since the same tools were used by Malekpoor et al. Method This is an observational study based on data obtained from a randomised, triple-blind, controlled trial on the effectiveness of Low-level Laser Therapy LLLT for the healing of episiotomies.

Perineal tear assessment and the development of the peri-rule tm [ Google Scholar ]. Only two women experienced this event at the third or fourth assessment.

In clinical practice, hyperaemia might be observed in only one side of haeling incision. Journal of Research in Medical Sciences.

For nearly 15 days, the professionals used the scale to assess the postpartum perineal condition during physical examination in the rooming-in unit. It did not show a significant difference in pain severity between the two groups. During the study May- November16 patients were excluded due to the elimination criteria 7 patients in the control group and 9 in the intervention group due to not using the cream regularly, not referring and access to the researcher, infection and the need for suturing again.

thesis on episiotomy wound healing

Conclusions Of the five items of the REEDA scale, the hyperaemia, secretion and coaptation of the edge wound items displayed more consistent ratings.