Farideh Eghdampour; Esmat Mehrabi; Mohsen Taghizadeh; Masomeh Kheyrkhah; Hamid Haghani; Fereshteh Jahdi
Volume 18, Issue 4 , January and February 2012, , Pages 243-249
Abstract
Background and Purpose: Aloe vera has long been used as a medication of many diseases but the research approving its analgesic effects are not many. Since the effect of its ointment on episiotomy pain has been investigated، we intended to determine the effect of aloe vera ointment on the pain intensity ...
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Background and Purpose: Aloe vera has long been used as a medication of many diseases but the research approving its analgesic effects are not many. Since the effect of its ointment on episiotomy pain has been investigated، we intended to determine the effect of aloe vera ointment on the pain intensity of episiotomy among primiparous women.
Methods and Materials: This blind randomized clinical trial was conducted on 74 primiparous women، having the inclusion criteria، admitted to Lolagar hospital in Tehran، Iran; the participants were continuously assigned into two groups by random allocation: experimental (using the aloe vera ointment) and control (routine medication). The experimental group (37 women) consumed Aloe vera ointment 3cc / 60 mg every 8 hours; and the control group (37 women) consumed the hospital routine care (Povidone Iodine) for five days. Data collection instruments were a demographic questionnaire and VAS scale، for recording the pain intensity before application، 4 and 8 hours and 5 days after application in both groups. The obtained data were analyzed in SPSS 16 using independent t-test and chi-square. Results: Mean pain score of the experimental and control groups before application of aloe vera ointment were 6.24±1.57 and 6.02±1.77 respectively، which reduced to 1.86±1.45 and 3.97±2.19 respectively five days after intervention; the difference between the two groups was significant (p
Maryam Kashanian; Mansoureh Ashghali Farahani; Maryam Shahnazari; Fereshteh Jahdi; Hamid Haghani
Volume 16, Issue 4 , January and February 2010, , Pages 189-195
Abstract
Background and Purpose: Perineal damage is one of the traumas most frequently suffered by women during delivery. There are several techniques aimed at reducing the perineal damage. The present study is aimed at determining and comparing the frequency and degree of perineal rupture in hands-off and hands-on ...
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Background and Purpose: Perineal damage is one of the traumas most frequently suffered by women during delivery. There are several techniques aimed at reducing the perineal damage. The present study is aimed at determining and comparing the frequency and degree of perineal rupture in hands-off and hands-on techniques of protecting perinea during labor. Method and Materials: This blind clinical trial (with the CI of 95% and test power of 80%) involved 187 women who, after signing their informed consent, were divided into the hands-off (n= 98) and hands-on (n=89) groups through random allocation. In the experimental (hands-off) method, the midwife guides the parturient and observes the process of labor without touching the perineum or the head. In the control (hands-on) group, the midwife protects the infant's head using Ringen maneuver. The data were analyzed in SPSS using chi-square and Fisher's exact test. Results: The result showed that the undamaged perinea in the hands-off group was 44.9%, versus 10% in the hands-on group, where the difference was statistically significant (P < 0.0001). Perineal laceration was 51% in the hands-off group and 47.2% in the hands-on group but the difference between the two groups was not significant (p = 0.55). Most ruptures were of the first-degree type (50% in the hands-off and 64.3% in the hands-on group). In the hands-off group, 3.1% underwent episiotomy as compared with 75.3% in the hands-on group. Conclusion: The results suggest that a policy of hands-off technique in protecting perinea can be safe and efficient technique and can be an alternative method in perineal protection during labor
Efat Sadat Margan Khoyi; Fatemeh Sheikhan; Fereshteh Jahdi; Hamid Haghani
Volume 16, Issue 3 , September and October 2009, , Pages 127-133
Abstract
Background and Purpose: Post-episiotomy pain affects maternal life quality and mental health as well as her care and relationship with the infant. Currently the use of complementary medicine has become common; for instance the use of lavender essence is specifically prevalent in medicine and midwifery ...
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Background and Purpose: Post-episiotomy pain affects maternal life quality and mental health as well as her care and relationship with the infant. Currently the use of complementary medicine has become common; for instance the use of lavender essence is specifically prevalent in medicine and midwifery but findings about this essence are few and contradictory. Therefore the present research was conducted to investigate the effect of lavender essence on post-episiotomy pain in primipara. Methods and Materials: This single-blind clinical trial involved 60 qualified primiparous women admitted for labor in Kamali Hospital in Karaj Iran. They were randomly allocated into two groups: cases (bathing in lavender essence) and controls (receiving the hospital routine). For five days after labor case mothers were given essential oil of lavender (twice a day each time 6 drops in 5 liters of water) and control mothers were given the hospital; routine (Betadine) for bathing in. The study data were collected through demographic data questionnaire analgesic checklist and visual analog scale of pain. The participants’ pain was recorded on the VAS scale 4 hours 12 hours ad 5 days after episiotomy. The obtained data were analyzed in SPSS 14 using independent t-test and chi-square. Results: The two groups did not show any significant differences as for their demographic data and variables of the study. Mean pain intensity in the lavender and Betadine groups were 2.7±1.7 and 4.23±1.59 respectively which shifted to 2.43±1.94 and 4.60±1.79 respectively five days after surgery; the difference came out to be significant (p