Perineal Wound Identification With Maternity Cool Gel Pad (MCGP) Care Interventions

Bina Melvia Girsang, Eqlima Elfira, Farida Linda Sari Siregar

Abstract


Postpartum mothers with an indication of episiotomy will experience a higher level of pain. This birth canal trauma is acute and is expected to recover in a short period of time, can be measured, and without serious complications. The aim of this study was to identify the healing process of postpartum maternal perineal wounds. The intervention was carried out on 31 postpartum mothers with the selection using purposive sampling technique. Maternity cool gel pad (MCGP) which was applied to the perineal wound care intervention on the 2nd and 3rd day after delivery showed the wound healing process was observed using the REEDA measuring instrument and analyzed using the T one sample test. The repair of the wound repair scale from the mean REEDA score (10.81 ± 2.98) occurred in all wounds of the study respondents at post intervention (5.32 ± 1.73). Maternity cool gel pad intervention assisted the wound healing process in post intervention data (P <0.005). The results of this study can be indicative of an inflammatory response locally in perineal wounds, but further research is needed to observe the impact of perineal wound healing with a combination of methods that can help evaluate the perineal wound repair process that can be done by mothers independently at home.

Keywords


cool; gel; perineum; postpartum

References


Kettle C, Dowswell T, Ismail KM. Continuous and interrupted suturing techniques for repair of episiotomy or second-degree tears. Cochrane Database Syst Rev. 2012 Nov 14;

Wong HS, Kong H, Hospital A. Article in Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine [Internet]. 2006 [cited 2020 Feb 8]. Available from: http://hdl.handle.net/10722/45495

Fraser M, Midwifery MC-, 2003 undefined. Myles text book for midwives. just.edu.jo [Internet]. [cited 2019 Oct 2]; Available from: http://www.just.edu.jo/CoursesAndLabs/Midwifery (3) Theory_MW 419/MW 419.doc

Steen M. Perineal tears and episiotomy: How do wounds heal? Br J Midwifery. 2007;15(5).

Steen M, Cooper K. A new device for the treatment of perineal wounds. J Wound Care [Internet]. 1999 Feb [cited 2020 Feb 7];8(2):87–90. Available from: http://www.magonlinelibrary.com/doi/10.12968/jowc.1999.8.2.25843

Steen M. Understanding perineal pain: Women’s descriptions. Vol. 16, British Journal of Midwifery. MA Healthcare Ltd; 2008. p. 383–93.

Steen M, Midwifery PM-E-B, 2007 undefined. Ice packs and cooling gel pads versus no localised treatment for relief of perineal pain: a randomised controlled trial. go.gale.com [Internet]. [cited 2020 Feb 7]; Available from: https://go.gale.com/ps/i.do?id=GALE%7CA167108900&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=14794489&p=AONE&sw=w

Mahishale A, Chougala A, Patted S. Effect of Therapeutic Ultrasound and Maternal Cooling Gel Pad for Perineal Pain Following Vaginal Delivery with Episiotomy. 2013;

Steen M, Briggs M, King D. Alleviating postnatal perineal trauma: To cool or not to cool? Vol. 14, British Journal of Midwifery. MA Healthcare Ltd; 2006.

Robin Petersen M. Review of interventions to relieve postpartum pain from perineal trauma. MCN Am J Matern Nurs [Internet]. 2011 Jul [cited 2020 Feb 10];36(4):241–5. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00005721-201107000-00008

Abed H, Mohamed E-A, Saied El-Nagger N. Effect of Self Perineal Care Instructions on Episiotomy Pain and Wound Healing of Postpartum Women. J Am Sci. 2012;88(66):640–50.

Steen M, Briggs M, King D. Alleviating postnatal perineal trauma: To cool or not to cool? [Internet]. Vol. 14, British Journal of Midwifery. MA Healthcare Ltd; 2006 [cited 2020 Feb 10]. p. 304–8. Available from: http://www.magonlinelibrary.com/doi/10.12968/bjom.2006.14.5.21056

Ousey K, Cook L. Understanding the importance of holistic wound assessment. Pract Nurs [Internet]. 2011 Jun [cited 2020 Feb 13];22(6):308–14. Available from: http://www.magonlinelibrary.com/doi/10.12968/pnur.2011.22.6.308

Cook L. Wound assessment: Exploring competency and current practice. Vol. 16, British Journal of Community Nursing. 2011.

Alvarenga MB, de Oliveira SMJV, Francisco AA, da Silva FMB, Sousa M, Nobre MR. Effect of low-level laser therapy on pain and perineal healing after episiotomy: A triple-blind randomized controlled trial. Lasers Surg Med. 2017 Feb 1;49(2):181–8.

Pore Y. Asian Journal of Multidisciplinary Studies Effectiveness of moist heat and dry heat application on healing of episiotomy wound. ASIAN J Multidiscip Stud [Internet]. 2014 Jun 27 [cited 2020 Sep 7];2(7):2348–7186. Available from: www.ajms.co.in

IJSR-INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH Effectiveness of Cooling Gel Pads on Episiotomy Pain Reduction and Promotion of Wound Healing Among Postnatal Mothers.

Das S. Evaluative study to assess the effectiveness of infrared therapy on episiotomy wound. Siksha O’ Anusandhan Univ. 2012;

Mohamed Khalefa El-Saidy T, Mohamed-Nabil Aboushady R, Fawzy Abbas Soliman H. INTERNATIONAL JOURNAL OF NURSING DIDACTICS Effect of Applying Crushed Ice Gel Pads on Episiotomy Pain and Wound Healing Among Postpartum Primiparous Women. Int J Nurs Didact [Internet]. 2018 [cited 2020 Feb 10];8(07). Available from: http://innovativejournal.in/index.php/ijnd

Webb S, Sherburn M, Ismail KMK. Managing perineal trauma after childbirth. Med J. 2014;349:24.

Boyle R, Hay-Smith EJC, Cody JD, Mørkved S. Pelvic floor muscle training for prevention and treatment of urinary and fecal incontinence in antenatal and postnatal women: A short version Cochrane review. Neurourol Urodyn [Internet]. 2014 Mar [cited 2020 Sep 7];33(3):269–76. Available from: http://doi.wiley.com/10.1002/nau.22402




DOI: http://dx.doi.org/10.21927/jnki.2020.8(4).%25p

Refbacks

  • There are currently no refbacks.


Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:

      

Lisensi Creative Commons

  View My Stats