الفهرس | Only 14 pages are availabe for public view |
Abstract Episiotomy is one of the most common surgical operations in obstetrics performed to women (Lappen & Gossett, 2010). Episiotomy sutures can cause considerable discomfort and pain because the perineum is vascular and an extremely tender area and the muscles of the perineum is involved in many activities such as sitting, walking etc. Many women experience no problem in healing from an episiotomy. Others experience a long vaginal episiotomy repair process, if the incision or tearing was unintentionally extended into the rectum. Other complications include bleeding, infection, swelling and local pain (Lynda, 2009). Women with episiotomy face serious problems and complication if not resolved well. The symptoms typically associated with episiotomy are a major source of psychological distress, the best way of providing care is to empower nurses and health care providers to bring change in their daily practices and incorporate the use of normal saline into nursing practice. So, the application of normal saline is an effective method of healing the episiotomy wound. The study is Quasi experimental. Its aim is to assess the effectiveness of saline dressing on episiotomy wound healing. This aim is achieved through confirmed the following hypothesis:Saline dressing will improve episiotomy wound healing. This study was conducted at hospital in postnatal ”recovery room” at labor unit at Ain Shams Maternity University Hospital before discharge from. And conducted the follow up visits at 3rd, 7th, and 10th days at postpartum period. The subjects of the present study included 160 women at the previously mentioned settings, and selected under the following inclusion criteria: Postnatal women who had normal vaginal delivery with episiotomy and Postnatal women who were free from medical disorder that could delay healing process as DM, obesity...etc. There are three types of tools for data collection that are used for achieving the aim of this study: women’s basic data assessment tool designed by researcher. It is divided into two parts to assess the socio demographic data, women history as Obstetrical. As well as the episiotomy wound healing assessment tool ”Standardized REEDA scale. to assess the level of healing of episiotomy wound before and after intervention: REEDA Scale is as a descriptive scale has a four-point categorical scores (0-3) that measures five components associated with the healing process they are including: Redness, Edema, Ecchymosis, Discharge, Approximation. Each item is rated on a scale of 0 to 3 and total scores ranged from 0 to 15. The lesser score indicates better healing. As well as the Visual Analogue Scale (VAS) for assessing level of pain to assess the level of pain The findings of the present study reached the following conclusion: Normal saline had a positive effect on the healing of episiotomy wound among postnatal mothers in form of lower REEDA scale score and pain scores by VAS. In the light of the study findings, the following were recommended: Educational sessions to increase women awareness about use of normal saline after episiotomy in form of leaflet or consoling session should be adopted. Integrate the saline dressing as a main part in discharge plan Further research to be replicated on factors affecting episiotomy wound healing. |