Aradmehr Maryam, Azhari Sedigheh, Ahmadi Sedigheh, Azmoude Elham
Department of Midwifery, School of Nursing and Midwifery, Islamic Azad University, Gonabad Branch, Gonabad, Iran.
Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
J Caring Sci. 2017 Mar 1;6(1):19-28. doi: 10.15171/jcs.2017.003. eCollection 2017 Mar.
Episiotomy is a surgical incision made in the perineum to enlarge it. Perineal pain is the most common complaint of mothers after episiotomy. Chamomile extract has been proposed as a sedative in traditional medicine. This study was conducted to assess the effect of chamomile cream on the pain after episiotomy. This triple blind clinical trial was performed on 114 eligible women at Ommolbanin Hospital in Mashhad, Iran in 2014.They were randomly assigned to two groups using random blocks. After delivery, mothers in the intervention group used 0.5 g of prescribed chamomile while the control group used placebo cream on the stitch twice a day lasting ten days. Episiotomy pain was evaluated before intervention and 12 hours after episiotomy repair and also on the first, seventh, tenth and fourteenth day after delivery by McGill pain questionnaire. Data was analyzed by SPSS ver.13. There was no significant difference between the two groups before the intervention, 12 hours and the first day after delivery. However, a significant difference was found on the seventh, tenth and fourteenth day after delivery. McGill mean (SD) score on the seventh, tenth and fourteenth in experimental group was 11.36 (5.04), 4.44 (3.43) and 7.16 (4.10) respectively. It was reported 14.88 (7.34), 7.41(4.92) and 9.96 (4.81) in placebo group, respectively. Chamomile cream can be used to reduce episiotomy pain in Primiparous us women.
会阴切开术是在会阴处做的外科切口，以扩大会阴。会阴疼痛是会阴切开术后母亲们最常见的主诉。洋甘菊提取物在传统医学中被用作镇静剂。本研究旨在评估洋甘菊乳膏对会阴切开术后疼痛的影响。2014年，在伊朗马什哈德的奥姆勒班宁医院对114名符合条件的女性进行了这项三盲临床试验。她们使用随机区组法被随机分为两组。分娩后，干预组的母亲每天两次在缝线处使用0.5克规定的洋甘菊乳膏，而对照组使用安慰剂乳膏，持续十天。通过麦吉尔疼痛问卷在干预前、会阴切开术修复后12小时以及分娩后的第一天、第七天、第十天和第十四天评估会阴切开术疼痛。数据用SPSS 13.0版进行分析。两组在干预前、分娩后12小时和第一天没有显著差异。然而，在分娩后的第七天、第十天和第十四天发现了显著差异。实验组在第七天、第十天和第十四天的麦吉尔平均（标准差）得分分别为11.36（5.04）、4.44（3.43）和7.16（4.10）。安慰剂组分别报告为14.88（7.34）、7.41（4.92）和9.96（4.81）。洋甘菊乳膏可用于减轻初产妇的会阴切开术疼痛。
