Roma Naglaa Zaki Hassan, Essa Rasha Mohamed, Rashwan Zohour Ibrahim, Ahmed Afaf Hassan
Obstetric and Gynecological Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Obstetric and Gynecological Nursing Department, Faculty of Nursing, Damanhour University, Damanhour, Egypt.
Obstet Gynecol Int. 2023 Jan 4;2023:9572354. doi: 10.1155/2023/9572354. eCollection 2023.
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.
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 5 and 10 days after obtaining the interventions while the episiotomy wound healing was assessed on the 5 and 10 days.
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 ( < 0.001, < 0.001, < 0.007, < 0.003, and < 0.001, respectively) and 10th day after intervention ( < 0.001, < 0.001, < 0.001, < 0.005, and < 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 ( < 0.001 for the dry heat group and = 0.004 for the moist heat group).
The application of dry heat promoted episiotomy wound healing among primipara women and reduced their perineal pain during early postpartum days than moist heat.
接受会阴侧切术的女性可能会受到多种并发症的影响，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，与侧切术相关的会阴疼痛会干扰女性产后的日常活动，并可能妨碍正确的母乳喂养、母婴同室和母婴亲密关系。本研究的目的是确定干热应用对初产妇会阴疼痛和侧切伤口愈合的影响。
在亚历山大市埃尔-沙特比妇产大学医院的产后住院病房和门诊进行了一项准实验性、两组、前后测试的研究。将100名产妇随机分为以下两组：干热组和湿（对照）热组。湿热组的女性被建议坐在一盆温水中10分钟，而干热组的女性被指示在侧切术后12小时将红外线灯（230伏）放置在距会阴45厘米处。两种干预措施均连续10天每天应用两次。她们在基线时评估会阴疼痛的严重程度，并在接受干预后的第5天和第10天重复评估，同时在第5天和第10天评估侧切伤口的愈合情况。
发现干热组在干预后第5天（分别为<0.001、<0.001、<0.007、<0.003和<0.001）和第10天（分别为<0.001、<0.001、<0.001、<0.005和<0.001）的会阴侧切伤口愈合情况在会阴发红、会阴区水肿、瘀斑、伤口渗出和伤口边缘接近度方面明显优于湿热组。初产妇在干预后第5天和第10天，干热组的会阴疼痛强度明显低于湿热组（干热组<0.001，湿热组=0.004）。
与湿热相比，干热应用促进了初产妇会阴侧切伤口的愈合，并减轻了她们产后早期的会阴疼痛。
