The effect of tea herb cream on wound healing satisfaction and episiotomy pain intensity in primiparous women (double-blind clinical trial)

Document Type : Original Article

Authors

1 Instructor, Department of Midwifery, Astara Branch, Islamic Azad University, Astara, Iran.

2 Assistant professor, Department of Midwifery, Ardabil Branch, Islamic Azad University, Ardabil, Iran.

Abstract

Introduction: Episiotomy is one of the most common surgeries in midwifery. Episiotomy wound healing can lead to perineal infection and pain, and affects mothers' satisfaction with childbirth. Tea herb with analgesic and anti-inflammatory properties can be effective on mothers' satisfaction with wound healing process. Therefore, the present study was conducted with aim to investigate the effect of tea herb cream on wound healing satisfaction and episiotomy pain intensity in primiparous women.
Methods: This double blind randomized clinical trial study was conducted in 2014 on 100 eligible primiparous women referred to Noorani hospital of Talesh. The participants were randomly allocated into two groups: A (drug) and B (placebo). After delivery, the subjects used the creams on episiotomy site twice a day for 10 days. They completed the researcher's questionnaires about satisfaction with treatment on the 10th day after delivery. Data were analyzed by SPSS software (version 19) and Mann-Whitney, independent t test and fisher exact test. P< 0.05 was considered statistically significant.
Results: The level of satisfaction in the intervention group with mean rating of 73.93 was higher than the control group with mean rating of 25.07. According to the Mann-Whitney test, the relationship between the two groups in terms of the level of satisfaction was significant (P<0.001)
Conclusion: Tea herb cream is effective on the satisfaction of pain improvement and wound healing.

Keywords


  1. Karaçam Z, Eroğlu K. Effects of episiotomy on bonding and mothers’ health. Journal of advanced nursing 2003; 43(4):384-94.
  2. Baghal B, Babazadeh R, Salari R, Ghanbarzadeh N, Hydarian H. The effect of Plantago major cream on intensity of pain and episiotomy wound healing in nulliparous women. Iran J Obstet Gynecol Infertil 2022; 25(9):87-95.
  3. Shahla Ghaderbasti Sh, Sayed Kaboli Kh, Farhadi Far F, Shahoei R. Comparison of the effects of honey cream and olive oil cream on episiotomy repair. Iran J Obstet Gynecol Infertil 2022; 25(8):81-93.
  4. Ghulmiyyah L, Sinno S, Mirza F, Finianos E, Nassar AH. Episiotomy: history, present and future–a review. The Journal of Maternal-Fetal & Neonatal Medicine 2022; 35(7):1386-91.
  5. Doğan B, Gün İ, Özdamar Ö, Yılmaz A, Muhçu M. Long-term impacts of vaginal birth with mediolateral episiotomy on sexual and pelvic dysfunction and perineal pain. The Journal of Maternal-Fetal & Neonatal Medicine 2017; 30(4):457-60.
  6. Kirsner RS, Eaglstein WH. The wound healing process. Dermatologic clinics 1993; 11(4):629-40.
  7. Li J, Chen J, Kirsner R. Pathophysiology of acute wound healing. Clinics in dermatology 2007; 25(1):9-18.
  8. Ghaderi R, Afshar M. Novel advancements in wound healing. Journal of Birjand University of Medical Sciences 2014; 21(1):1-19.
  9. Jaffary F, Nilforoushzadeh MA, Sharifian H, Mollabashi Z. Wound healing in animal models: review article. Tehran Univ Med J 2017; 75(7):471-9.
  10. Laki E, Torkzahrani S, Mojab F, Heydari A, Soltani Kermanshahi M. The effect frankincense ointment on pain intensity and episiotomy wound healing in primiparous women. Iran J Obstet Gynecol Infertil 2019; 22(2):42-51.
  11. Alah Gahi F, Shiravi A, Hojati V. Histomorphometric study effect of alcoholic extract of grape seed (Vitis Vinifera) on wound healing diabetic male Wistar rats. Cell and Tissue Journal 2016; 7(3):293-300.
  12. Buhling KJ, Schmidt S, Robinson JN, Klapp C, Siebert G, Dudenhausen JW. Rate of dyspareunia after delivery in primiparae according to mode of delivery. European Journal of Obstetrics & Gynecology and Reproductive Biology 2006; 124(1):42-6.
  13. Francisco AA, Kinjo MH, Bosco CD, Silva RL, Mendes ED, Oliveira SM. Association between perineal trauma and pain in primiparous women. Revista da Escola de Enfermagem da USP 2014; 48:39-44.
  14. East CE, Dorward ED, Whale RE, Liu J. Local cooling for relieving pain from perineal trauma sustained during childbirth. Cochrane Database of Systematic Reviews 2020(10).
  15. Schreml S, Szeimies RM, Prantl L, Landthaler M, Babilas P. Wound healing in the 21st century. Journal of the American Academy of Dermatology 2010; 63(5):866-81.
  16. Gebrehiwot M, Asres K, Bisrat D, Mazumder A, Lindemann P, Bucar F. Evaluation of the wound healing property of Commiphora guidottii Chiov. ex. Guid. BMC Complementary and Alternative Medicine 2015; 15(1):1-11.
  17. Carroli G, Belizan J. Episiotomy for vaginal birth (Cochrane Review) The Cochrane Library, Issue 1, 2004.
  18. Mesgarzade M, Orujlu S, Ebrahimi M, Baghaei R. Survuy of mother’s satisfaction from provided care in delivery unit in the Khoy Qamar Bani Hashem hospital in 2012. Nursing and Midwifery Journal 2015; 12(10):919-25.
  19. Joolaee S, Hajibabaee F, Jalal EJ, Bahrani N. Assessment of Patient Satisfaction from Nursing Care in Hospitals of Iran University of Medical Sciences. Hayat 2011; 17(1):35-44.
  20. Somayeh N, Fahimeh S, Shirin Atri B, Hossein E. Comparing mothers' satisfaction from ethical dimension of care provided in labor, delivery, and postpartum phases in Tabriz's educational and noneducational hospitals in 2009. Journal of Research and Health 2011; 1(1):25-33.
  21. Chunuan SK. Patient satisfaction with health care services received during intrapartum in one regional hospital in the southern part of Thailand. University of Kentucky; 2002.
  22. Kordi M, Bakhshi M, Masoudi S, Esmaily H. Effect of prenatal psychological trainings on satisfaction with childbirth and maternal role competence in primiparous women. Journal of Mazandaran University of Medical Sciences 2018; 28(165):98-108.
  23. Bernitz S, Øian P, Sandvik L, Blix E. Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women. BMC pregnancy and childbirth 2016; 16:1-8.
  24. Mocumbi S, Högberg U, Lampa E, Sacoor C, Valá A, Bergström A, et al. Mothers’ satisfaction with care during facility-based childbirth: a cross-sectional survey in southern Mozambique. BMC pregnancy and childbirth 2019; 19(1):1-14.
  25. Johansson P, Oleni M, Fridlund B. Patient satisfaction with nursing care in the context of health care: a literature study. Scandinavian journal of caring sciences 2002; 16(4):337-44.
  26. Abramowitz S, Coté AA, Berry E. Analyzing patient satisfaction: a multianalytic approach. QRB. Quality review bulletin 1987; 13(4):122-30.
  27. Moerman DE. An analysis of the food plants and drug plants of native North America. Journal of ethnopharmacology 1996; 52(1):1-22.
  28. Sanadgol S, Aghchelou MR, Saadati D, Jamshidian A. Effects of Hypericum perforatum and Aloe vera extracts in rat open wounds inoculated with Staphylococcus aureus: clinical and histopathol-ogy aspects. New Findings in Veterinary Microbiology 2021; 4(1):1-22.
  29. Koohsari H, Khormali H, Khormali A. Evaluation of flavonoids and phenolic compounds, antioxidant and antibacterial activity of Hypericum perforatum L. Collected from two sites in North Country. Eco-phytochemical Journal of Medicinal Plants 2017; 5(1):78-90.
  30. Khorshidi J, Morshedloo MR, Moradi S. Essential oil composition of three Iranian Hypericum species collected from different habitat conditions. Biocatalysis and Agricultural Biotechnology 2020; 28:101755.
  31. Yahya S, Ozgoli G, Mojab F, Alavi Majd H, Shojaee A, Mirhaghjou N. The effect of hypericum perforatum cream on perineal pain after episiotomy in primiparous women. Iran J Obstet Gynecol Infertil 2015; 18(159):1-7.
  32. Mohammadzadeh Z, Mohammadalizadeh Charandabi S, Farshbaf Khalili A, Javadzadeh Y. The effect of hypericum perforatum vaginal gel in treatment of bacterial vaginosis. Iran J Obstet Gynecol Infertil 2013; 16(56):17-27.
  33. Kebriti K, Naderi MS, Tabaie SM, Hesami Tackllou S. Herbal Medicine Efficiency in Wound Healing. Laser in Medicine 2020; 16(4):32-41.
  34. Yalcınkaya E, Basaran MM, Tunckasık ME, Yazici GN, Elmas Ç, Kocaturk S. Efficiency of hypericum perforatum, povidone iodine, tincture benzoin and tretinoin on wound healing. Food and Chemical Toxicology 2022; 166:113209.
  35. Vatnikov YU, Shabunin SE, Kulikov EV, Karamyan AR, Lenchenko EK, Sachivkina NA, et al. Effectiveness of biologically active substances from Hypericum Perforatum L. in the complex treatment of purulent wounds. International Journal of Pharmaceutical Research 2020; 12(4):1108-17.
  36. Davidson N. REEDA: evaluating postpartum healing. Journal of Nurse‐Midwifery 1974; 19(2):6-8.
  37. Yahya S, Mehraban Z. Effect of hypericum perforatum cream on perineal wound healing in primiparous women. Iran J Obstet Gynecol Infertil 2020; 23(6):61-9.
  38. Samadi S, Khadivzadeh T, Emami A, Moosavi NS, Tafaghodi M, Behnam HR. The effect of Hypericum perforatum on the wound healing and scar of cesarean. The Journal of Alternative and Complementary Medicine 2010; 16(1):113-7.
  39. Marks PM, Caroci-Becker A, Brunelli WS, Oliveira SG, Lima MD, Riesco ML. Pain, healing and satisfaction of women after perineal repair with surgical glue and suture. Revista da Escola de Enfermagem da USP 2020; 54.
  40. Rafsanjani MS, Dinpanah H, Ranjbar AE, Shahrebabaki MR. Comparison of Liquid Tissue Adhesive and Suture in Pediatric Wound Repair; a Case Control study. Iranian Journal of Emergency Medicine 2018;5:e7.
  41. Singer AJ, Clark RA. Cutaneous wound healing. New England journal of medicine 1999; 341(10):738-46.
  42. Sawyer A, Ayers S, Abbott J, Gyte G, Rabe H, Duley L. Measures of satisfaction with care during labour and birth: a comparative review. BMC pregnancy and childbirth 2013; 13(1):1-10.
  43. Biró MA, Waldenström U, Brown S, Pannifex JH. Satisfaction with team midwifery care for low‐and high‐risk women: a randomized controlled trial. Birth 2003; 30(1):1-10.
  44. Waldenström U, Brown S, McLachlan H, Forster D, Brennecke S. Does team midwife care increase satisfaction with antenatal, intrapartum, and postpartum care? A randomized controlled trial. Birth 2000; 27(3):156-67.
  45. Masoumi Z, Keramat A, Hajiaghaee R. Systematic review on effect of herbal medicine on pain after perineal episiotomy and cesarean cutting. Journal of Medicinal Plants 2011; 10(40):1-16.
  46. Chimshirova R, Karsheva M, Diankov S, Hinkov I. Extraction of Valuable Compounds from Bulgarian St. John's Wort (Hypericum Perforatum L.). Antioxidant Capacity and Total Polyphenolic Content. Journal of Chemical Technology & Metallurgy 2019; 54(5).
  47. Lu YY, Su ML, Gau ML, Lin KC, Au HK. The efficacy of cold-gel packing for relieving episiotomy pain–a quasi-randomised control trial. Contemporary nurse 2015; 50(1):26-35.
  48. Rudman A, El‐Khouri B, Waldenström U. Women's satisfaction with intrapartum care–a pattern approach. Journal of advanced nursing 2007; 59(5):474-87.