The Effects of Chamomile Cream on Wound Healing of Episiotomy in Primiparous Women

Document Type : Original Article


1 Lecturer of Midwifery, Evidence-Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

2 M.Sc. Student of Midwifery, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant Professor, Department of Pharmacology, Pharmacological Research Center of Medicinal Plants, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Associate Professor, Department of Obstetrics and Gynecology, Ovulation Dysfunction Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.


Introduction: Episiotomy is a surgical incision of the perineum, which is done to prevent perineal tears but little studies were performed on the care of this common wound. Chamomile has the capability of healing wounds because of its α-bisabolol. The aim of this study was to determine the effect of chamomile cream on wound healing of episiotomy.
Methods: This triple blind clinical trial was accomplished on 98 qualified women, who were candidate for normal vaginal delivery in Ommolbanin hospital in Mashhad, Iran in 2014. Women were randomly divided into two groups of intervention (chamomile cream) and control (placebo). Mothers used a phalanx of prescribed creams (chamomile or placebo) on the stitches site twice daily for 10 days after delivery. The wound healing was assessed at the days 1st, 7th, 10th, and 14th after the delivery using the REEDA scale. Data were analyzed with SPSS software version 16, Mann-Whitney, t-test, chi-square and Fisher exact tests. P value less than 0.05 was considered significant.
Results: There was no significant difference egarding REEDA score between two groups at the first day after delivery (p=0.115). The mean of REEDA scores were 1.90±1.29 at 7th day, 1.00±1.17 at 10th day and 0.56±0.92 at 14th day of postpartum in the case group and 3.10±1.05 at 7th day, 2.30±1.35 at 10th day and 1.10±1.80 at 14th day of postpartum in placebo group, that the two groups had significant difference in wound healing (p=0.001).
Conclusion: Chamomile cream can be prescribed for primiparous women with episiotomy incisions as promoting healing of episiotomy.


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