]>
IRCT20240318061331N2 IRCT 2024-05-12 Mashhad University of Medical Sciences The effect of Mummy on Intensity of Episiotomy Pain and Wound Healing The effect of Mummy on the Intensity of Episiotomy Pain and Wound Healing in Primiparous Afghan Women. 2024-06-21 anticipated 66 Complete https://irct.ir/trial/76074 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Sampling will be conducted using a convenience sampling, with samples being allocated to two groups via random assignment facilitated by software. The random allocation of women into the cream and placebo groups will be achieved through random sequence generation by the website www.randomization .com and employing random blocking, Blinding description: Mummy cream and placebo will be poured into completely identical tubes. The creams will be similar in shape, color, and packaging. Both the mummy cream and placebo are assigned unique codes, which are determined through a random selection process and only the supervising pharmacist will be aware of the assigned codes to the creams. 3 The Intensity of Episiotomy Pain and Wound Healing. Intervention 1: After child birth, the researcher will measure the length and depth of the episiotomy incision by utilizing a sterile swab that was marked with ruler measurements to accurately measure and record its length and depth. The mother will receive personalized instructions on perennial care, which involved gently cleansing the perineum from front to back using warm water, followed by the use of a clean cloth before applying the cream. She is also instructed to wash and dry her hands with water and liquid soap before applying the cream. The mummy cream was then applied to the episiotomy, with a total of 2 to 3 cm applied twice daily (every 12 hours) for a duration of 10 days. Intervention 2: After child birth, the researcher will measure the length and depth of the episiotomy incision by utilizing a sterile swab that was marked with ruler measurements to accurately measure and record its length and depth. The mother will receive personalized instructions on perineal care, which involved gently cleansing the perineum from front to back using warm water, followed by the use of a clean cloth before applying the cream. She is also instructed to wash and dry her hands with water and liquid soap before applying the cream. The placebo cream was then applied to the episiotomy, with a total of 2 to 3 cm applied twice daily (every 12 hours) for a duration of 10 days. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is This decision regarding sharing will be made subsequent to the conclusion of the study.
public Fatemeh Zahra Karimi
School of Nursing and Midwifery, Shahid Dr. Kharazmi Educational Complex, University Campus, East Gate of Ferdowsi University of Mashhad, Azadi Square , Razavi Khorasan, Mashhad, Iran
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 karimifz@mums.ac.ir Mashhad University of Medical Sciences scientific Fatemeh Zahra Karimi
School of Nursing and Midwifery, Shahid Dr. Kharazmi Educational Complex, University Campus, East Gate of Ferdowsi University of Mashhad, Azadi Square , Razavi Khorasan, Mashhad, Iran
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1511 karimifz@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Afghan women aged 18-45 residing in Mashhad Reading and writing literacy Primipara Normal delivery Single, full-term, and healthy baby Body mass index 18.5 to 24.9 Mediolateral episiotomy without any instances of rupture, hematoma, and extension of the incision (incision size more than 6cm) Baby weight between 2500-4000 g 18 years 45 years Female Using chemical or herbal medications effective in reducing pain or improving the healing of episiotomy wounds Not using the cream in two or more sessions throughout the entire period Persistent constipation Developing metritis or infection at the episiotomy site Reopening of episiotomy stitches (of course its amount is checked and recorded in two groups) Intercourse during the study Experiencing any complications during the postpartum period Genital skin disease such as vestibulitis, vulval dystrophy Diseases such as (chronic systemic diseases, heart disease, coagulation disorder, diabetes, kidney and lung disease, anemia, malnutrition, neurological and psychiatric disorders, etc.) Using medications effective in wound healing such as anticoagulants, antidepressants, antiepileptic, immunosuppressant Drug abuse, psychotropic drugs, alcohol, and tobacco addiction Using analgesics to reduce labor pain, experiencing childbirth Complications during labor stages Experiencing neonatal complications during labor stages Having a history of sensitivity to mummy according to the self-report of the mother Having lesions such as genital warts and genital herpes in the perineum, vagina, and perineum O90.89 Other complications of the puerperium Treatment - Other Treatment - Other After child birth, the researcher will measure the length and depth of the episiotomy incision by utilizing a sterile swab that was marked with ruler measurements to accurately measure and record its length and depth. The mother will receive personalized instructions on perennial care, which involved gently cleansing the perineum from front to back using warm water, followed by the use of a clean cloth before applying the cream. She is also instructed to wash and dry her hands with water and liquid soap before applying the cream. The mummy cream was then applied to the episiotomy, with a total of 2 to 3 cm applied twice daily (every 12 hours) for a duration of 10 days. After child birth, the researcher will measure the length and depth of the episiotomy incision by utilizing a sterile swab that was marked with ruler measurements to accurately measure and record its length and depth. The mother will receive personalized instructions on perineal care, which involved gently cleansing the perineum from front to back using warm water, followed by the use of a clean cloth before applying the cream. She is also instructed to wash and dry her hands with water and liquid soap before applying the cream. The placebo cream was then applied to the episiotomy, with a total of 2 to 3 cm applied twice daily (every 12 hours) for a duration of 10 days The Intensity of Episiotomy Pain. Timepoint: Assessment of pain intensity will be conducted prior to the initiation of the intervention, as well as on the first, fifth, and tenth days following the intervention. Method of measurement: Pain intensity evaluation will be carried out prior to the intervention, as well as on the first, fifth, and tenth day post-intervention, using the shortened McGill pain questionnaire while in a sitting position. Episiotomy wound healing. Timepoint: Evaluation of wound healing on the first, fifth, and tenth day following the intervention involving the application of mummy cream. Method of measurement: Wound healing assessment will be done on the first, fifth, and tenth day after delivery, utilizing the Rida scale while in the lithotomy position. Mashhad University of Medical Sciences Approved 2024-03-04 Ethics Committee of Mashhad University of Medical Sciences School of Nursing and Midwifery, Shahid Dr. Kharazmi Educational Complex, University Campus, East Gate of Ferdowsi University of Mashhad, Azadi Square, , Mashhad, Iran Mashhad Razavi Khorasan Iran (Islamic Republic of)