Effect of Verbascum Thapsus cream on intensity of episiotomy pain in primiparous women

Document Type : Original Article


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

2 Assistant professor, Department of Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.

3 Professor, Department of Pharmacognosy, School of Pharmacy, Shahid Beheshti University of Medical Science, Tehran, Iran.

4 Assistant professor, Department of Biostatistics, School of Paramedics, Shahid Beheshti University of Medical Science, Tehran, Iran.

5 M.Sc. of Plant Systematic, Medicinal Plants Research Center, Institute of Medicinal Plants, ACECR, Karaj, Iran.


Introduction: Episiotomy is the most common surgery in midwifery to facilitate the expulsion of the fetus. The pain resulting from episiotomy affects mother's quality of life. Verbascum Thapsus has been used for a long time to cure different diseases. Since no study has been conducted which evaluate the effects of Verbascum on pain relief in human models, therefore, this study was performed with aim to investigate the effect of Verbascum Thapsus cream on episiotomy pain intensity.
Methods:This clinical trial study was performed on 93 primiparous mothers in Fatima Zahra Hospital, Saveh in 2015. They were randomly allocated to two groups of Verbascum cream and placebo. The women in experimental groups used Verbascum and placebo cream twice per day for 10 days. Pain intensity was assessed before intervention, 1, 3 and 10 day after intervention using NAS scale. Data were analyzed using SPSS software (version 16), and Mann-Whitney, t-test, and Chi-square tests. PResults: The score of pain intensity before intervention was not significantly difference in two groups of Verbascum cream and placebo (P=0.947).  This score showed significant difference in two groups on 1, 3 and 10 day after intervention (P<0.001).
Conclusion: Verbascum cream decreased pain intensity during 10 days after episiotomy. Since this study was the first which assessed the effects of Verbascum Thapsus cream on episiotomy pain intensity in human, further research is required to fully clarify the beneficial effects of Verbascum cream.


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