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Effect of Achillea Vermicularis Ointment on Wound Healing After Episiotomy in Primiparous Women: A Randomised Clinical Trial Publisher



Rahmani A1 ; Fedotova J2 ; Rezaei E4 ; Shahbazi Sighaldeh S5 ; Fallahi A6 ; Allahqoli L7 ; Ghanei Gheshlagh R8 ; Sadati Lamardi SN9 ; Alkatout I10
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Source: Journal of Herbal Medicine Published:2023


Abstract

Introduction: Episiotomy may be followed by several maternal complications, such as postpartum infection, pain, discomfort, and prolonged wound healing. The present study was conducted to evaluate the effect of Achillea vermicularis on wound healing after episiotomy. Methods: We performed a randomised clinical trial consisting of 100 participants aged on average 23.37 (±4.96) years, who underwent an episiotomy during normal vaginal delivery from June to December 2018. The mothers were randomly allocated to the treatment or control group. Those in the treatment group used the A. vermicularis 3% ointment, while those in the control group received routine treatment consisting of sitz baths with betadine solution. The primary outcome was wound healing, which was assessed using the redness, edema, ecchymosis, discharge, and approximation (REEDA) scale on baseline and days 7 and 10 after the intervention. Results: The episiotomy wound parameters did not differ significantly between groups on day 7, but there was a significant difference in redness (P = 0.02), discharge (P = 0.03), approximation of wound edges (P = 0.03), and wound healing (P < 0.001) between the two groups on day 10. Discussion: It may be concluded that A. vermicularis ointment has a positive effect on wound healing after episiotomy on day 10 postpartum. © 2023 Elsevier GmbH
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