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Treatment of perineal wounds using complementary alternative therapies: Evidence based case review Rahmah, Lailatul; Yuliana, Fitri; Palimbo, Adriana; Wahdah, Rabia; Rahayu, Irma Putri
Health Sciences International Journal Vol. 2 No. 1: February 2024
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v2i1.14

Abstract

Background: Perineal wounds can cause pain, inflammation, and mechanical trauma and even affect daily mobility. Furthermore, over a long period, prolonged pain can also cause women to become irritable, tired, and even depressed. Midwives are responsible for providing episiotomy pain management services and offering evidence-based good practices for such problems or complaints. Objective: This evidence-based case review aims to determine the results of alternative treatments in relieving and healing perineal wound pain, both spontaneous tears during childbirth and suture wounds. Method: This review is based on a good practice stage report carried out by a group of midwife professional program students who handled midwifery care in the Fatimah Azzahra postpartum ward, Islamic Hospitals, Banjarmasin, in June 2023 with cases including spontaneous lacerations, episiotomies, and second-degree suturing. Then, three articles were assessed and analyzed to provide comparison and evidence relevant to our case report.  Criteria indicators use the PICO format. Findings: The problem was seen in episiotomy wound pain, with some differences in intervention, including lavender oil, ice blocks, rosemary cream, and lavender oil vapor. Furthermore, the comparison between the studies was the group of material used, method, and design of interventions. The outcomes were reduced local temperature of the skin and subcutaneous tissue and a lower rate of the wound in the intervention. Conclusion: Complementary therapy of midwifery care in hospitals has been implemented quite well as long as it does not conflict with procedures, raw materials are easy to obtain, and it is also under continuous supervision by other practitioners.
Breathing techniques and warm compresses as therapy for adaptation of labor pain in the active phase of the first stage: A literature review Palimbo, Adriana; Anisa, Fadhiyah Noor; Zulliati; Mahdiyah, Dede; Rahmah, Lailatul
Health Sciences International Journal Vol. 1 No. 1: August 2023
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v1i1.9

Abstract

Background: The active phase of the first stage of labor creates unpleasant conditions due to sensory and emotional experiences from the interaction of physiological and psychological processes. Labor pain coincides with maternal adaptation to pain. Labor pain results in uncoordinated uterine contractions, which results in a prolonged duration of the first stage of labor and impaired fetal well-being. Objective: This study aims to describe the application of a breathing technique model combined with warm compresses as an adaptation therapy for active phase I labor pain. Methods: Selected articles within five years, from 2017 to 2021. Initial research search results on the topic included 150 articles from PubMed and Google Scholar, keyword PICOS(T). The final selection stage was based on the inclusion criteria of 23 articles and eliminating the outer domains of the nine articles. Article covering JBI's critical assessment and synthesised a total of fourteen. Results: The findings of fourteen articles showed the average difference in pain scale and intensity before and after treatment. In addition to pain intensity, the results also show that pain can be adapted through these two methods, and provides a sense of comfort, reduces anxiety, and increases relaxation, especially in primigravid women. Conclusion: Obstacles appear in the phase and if the woman is in an abnormal pregnancy condition. Skilled attendants and family social support were accommodating in the success of this experiment. Practical implications and recommendations are needed to consider the length of treatment time and materials for compressed bottles of rubber or glass bottles.