الفهرس 
Introduction & Aim of the studyOnly 14 pages are availabe for public view
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Abstract
Parturient women face minor discomfort may persist for 2 or 3 weeks and must oriented about how to dealing about it to promote healing and relieve pain. Poor perineal outcome due to use of episiotomy, increase incidence of complication (30%) as deep perineal laceration, increase blood loss, hematoma, perineal pain, edema, healing complication as improper healing, infection and long-term complications as anal & urinary incontinence, dyspareunia, endometriosis Cargill Y., & et al., (2004), Murphy D., & et al., (2008).
The present study aimed to evaluate the effect of chamomile versus betadine as perineal wash for postpartum women through; assessing women’s knowledge regarding perineal care, assessing pre & post intervention of perineal condition.
To achieve the study aim, an intervention study had been implemented at inpatient postnatal units of El-Galaa military hospital, on 100 primipara women with episiotomy, 50 women received betadine, and 50 women received chamomile as perineal wash and follow up within two weeks postpartum.
The data collected from women through, 1) structured questionnaire sheet was used for the following item: the first part is demographical characteristic about women included in the study, the second part used to assess obstetric history , third part used to assess women’s knowledge about perineal care. 2) Observational checklist were used to assess REEDA scale and visual analoge scale which modified by the researcher.
The present study revealed that:
● Regarding general characteristic of studied sample, half of women (56%) their age ranged from 25-30 years. The educational level of study sample ranged from faculty less than half and secondary more than half. The occupational statuses were more than half house wife, less than half employee.
● Concerning obstetric medical history of the study sample: slightly more than one quarter of the study sample had instrumental deliver. As well as more than one third of them had perineal laceration. All women in study sample had anemia ranged from two third of them had moderate anemia and one third had mild anemia.
● Silently more than two thirds of the study sample had unsatisfactory knowledge regarding perineal care and puerperium period. Women had wrong concept about:” method used less than two third, techniques about two thirds had incorrect knowledge about direction of the wash, two third changing sanitary towel less than three times, all the sample had incorrect knowledge about frequency of perineal care and importance of hand wash before perineal care, less than quarter had knowledge related to dangerous signs during puerperium and less than half of women rely on relative’s knowledge”.
● from results of this study, the researcher concluded that most of women had incomplete and incorrect knowledge regarding puerperium and CAM. This finding return to they don’t received educational program regarding proper hygiene during puerperium and CAM.
● Regarding assessment of their perineal condition before intervention: all of the study sample had redness, edema, pain after childbirth due to episiotomy this perineal problem ranged from mild, moderate, severe with insignificant difference between two groups.
● Regarding perineal ”redness, edema and pain” in betadine group: the degree of severity reduced from (42%, 46%, 44%) before to none after intervention. Also moderate perineal problem reduced from (58%, 54%, 56%) before to (38%, 34%, 36%) in second measure and (4%, 4%, 4%) in third measure after intervention.
● Regarding perineal ”redness, edema and pain” in chamomile group: the degree of severity reduced from (46%, 50%, 48%) before to none after intervention. Also moderate perineal problem reduced from (54%, 50%, 52%) before to (28%, 24%, 26%) in second measure and reduced to (2%, 2%, 2%) in third measure after intervention.
● After intervention, the perineal problems significantly gradually reduced in the second measure and third measure. More reduction was observed in chamomile group than betadine.
● Regarding perineal healing in both betadine and chamomile group: the rate of improvement in perineal healing was more higher in the third measure in chamomile than betadine group.
● There were a highly significant relation (P<0.001) between increase degree of anemia and increase degree of pain and unhealed wound.
● There were a highly significant relation (P<0.001) between using of instrumental delivery and delayed of perineal healing.
● There were a highly significant (P<0.001) relation between increasing degree of satisfaction regarding to the method used by the studied women (at 3rd measure) and decrease their degree of pain and their improvement of wound healing.
It is concluded that both groups had incorrect knowledge about perineal care and dangerous sign during periperium. Chamomile is a nature plant has effect as perineal wash to improve healing of episiotomy than betadine.
It is recommended that awareness session should be provided regarding using of chamomile to reduce redness, edema, pain and improve episiotomy healing during postpartum.