Investigating the effect of ointment containing Malva sylvestris extract on the pain intensity of episiotomy wound in primiparous women

Document Type : Original Article

Authors

1 M.Sc. of Midwifery, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.

2 Professor, Midwifery and Reproductive Health Research Center, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Professor, Department of Pharmacognosy, Pharmaceutical Sciences Research Center, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 Assistant Professor of Department of Obstetrics and Gynecology, School of Medicine, Mahdieh Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5 Master of Health and Social Welfare, Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

10.22038/ijogi.2024.79693.6082

Abstract

Background and purpose: Episiotomy, which means cutting the perineal muscles, is the most common surgical intervention in midwifery, The present study was conducted with the aim of determining the effect of Malva sylvestris L ointment on the pain intensity of episiotomy wound in primiparous women.

Materials and methods: This clinical trial study with a three-way blind randomized control group was conducted on 92 primiparous women (43 in Malva sylvestris L group and 49 in placebo group) referred to Mahdieh Hospital in Tehran in 2011-2012. After delivery, for 10 nights and 2 times a day, ointment for local use on the episiotomy incision of the size of a finger was prescribed for both study groups. Data collection tools include demographic questionnaire, midwifery characteristics checklist, and visual pain assessment scale (VAS). Data analysis was done using SPSS statistical software (version 27) and chi-square, independent t and Fisher's exact tests.

Findings: There were no statistically significant differences in both the cheese and placebo groups in terms of demographic characteristics, obstetrics and health status before the intervention (P>0.005). There was no statistically significant difference between the pain intensity scores in the two groups before the intervention (P=0.809). The average pain score in the cheese group on the fifth day and the tenth day compared to the placebo group had a statistically significant difference (P<0.001).

Conclusion: The use of Malva sylvestris L ointment increases the speed of improvement of pain intensity in primiparous women compared to placebo.

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