바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

ISSN : 3022-6805

Article Contents

Next
e-Submission

Vol.11 No.4
Citation Share

Effect of Marham-i-Raal on Episiotomy Wound Healing: A Single-Arm pre-and post-treatment study

CELLMED / CELLMED, (P)3022-6805; (E)3022-6791
2021, v.11 no.4, pp.17-17
https://doi.org/10.5667/CellMed.2021.0017
Arshiya Sultana (Department of Ilmul Qabalat wa Amraze Niswan (Obstetrics and Gynecology), National Institute of Unani Medicine)
Aynul Fazmiya Mohamed Joonus (Department of Ilmul Qabalat wa Amraze Niswan (Obstetrics and Gynecology), National Institute of Unani Medicine)
Khaleequr Rahman (Dept. of Ilmul Saidla, National Institute of Unani Medicine)
Arshiya, S. , Aynul, F. M. J. , & Khaleequr, R. (2021). Effect of Marham-i-Raal on Episiotomy Wound Healing: A Single-Arm pre-and post-treatment study. CELLMED, 11(4), 17-17, https://doi.org/10.5667/CellMed.2021.0017
  • Downloaded
  • Viewed
PDF Download

Abstract

Episiotomy is the commonest obstetrics intervention in the world to reduce severe perineal injuries. Its prevalence is 43% to 100% in primiparous women in Asia. Further, worldwide approximately 10-95% of pregnant women undergo episiotomy incision during birth. Delay in wound healing probably increases the risk of wound infection, changes the muscular structure, and ultimately causes muscle tone loss. So, wound care is of specific significance to postnatal maternal outcomes. Hence, this case study aimed to evaluate the effect of Marham-i-Raal in episiotomy wound healing and pain relief. The study was conducted in eleven postpartum primi or multipara pregnant women aged between group 19 and 35 years with term gestational age, singleton pregnancy in a cephalic presentation who had a normal vaginal delivery with mediolateral episiotomy, without a perineal tear, and perineal hematoma. Externally, application of Marham-i-Raal 2g on episiotomy incisional wound, twice a day for 10 days was advised. Wound healing of episiotomy and pain intensity was assessed with REEDA [“redness, oedema, ecchymosis, discharge and approximation of the edges”] scoring and VAS scoring for pain intensity respectively. At one hour (baseline), the REEDA mean score of eleven patients was 3.90±1.04 whereas on day 7-10 it was 0.18±0.40 with statistically significant difference (p<0.001). The VAS mean score at one hour was 6.90±1.22 whereas on day 7- 10 it was 0.72±0.78 with a statistically significant difference (p <0.001). Marham-i-Raal would be effective in episiotomy wound healing and reducing pain intensity. Further, randomized double-blind controlled trials in large sample size are recommended.

keywords
Episiotomy, Marham-i-Raal, REEDA score for wound healing, VAS score for pain intensity

Reference

1.

Ahmad W, Alam SS, Aquil Z. Herbo-medicinal formulation;Marham-e-raal: A potent ointment for acute and chronic wounds – A review. Turk J Plast Surg. 2019;27:77-83.

2.

Anonymous. National Formulary of Unani Medicine. Part I. 1st ed. (New Delhi: Ministry of Health & Family Welfare), pp. 160,165, 2006

3.

Asgharikhatooni A, Bani S, Hasanpoor S, Alizade SM, Javadzadha Y. The effect of Equisetum Arvense (Horse tail)ointment on wound healing and pain intensity after episiotomy: A randomized placebo-controlled trial. Iran Red Crescent Med J. 2015;17(3):e25637

4.

Chen W, Vermaak I, Viljoen A. Camphor-A fumigant during the black death and a coveted fragrant wood in Ancient Egypt and Babylon-A review. Molecules. 2013;18:5434-5454.

5.

Kabiruddin AHM. Makhzan-ul-Mufradat. (New Delhi:Idara Kitabus Shifa), pp. 224, 395-96, 2007

6.

Kavitha S and Geethu AP. In vitro study on antiinflammatory activity of aqueous extract of Vateria indica resin. International of Pharmacy and Biological Sciences. 2017;7(3):129-35.

7.

Khan MS, Lari Q, Khan MA. Therapeutic uses of Mom zard in Unani system of medicine-A review. J Ana. Pharm Res. 2016;3(1):44

8.

Lavaf M, Simbar M, Mojab F, Alavi Majd H, Samimi M. Comparison of honey and phenytoin (PHT) cream effects on intensity of pain and episiotomy wound healing in nulliparous women. J Complement Integr Med. 2017;5:15(1). doi: 10.1515/jcim-2016-0139.

9.

Li XC, Liu C, Yang LX, Chen RY. Phenolic compounds from the aqueous extract of Acacia catechu. J Asian Natural Products Research. 2011;13(9):826-30.

10.

Mohammadi A, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Javadzadeh Y, Fardiazar Z, EffatiDaryani F. Effects of cinnamon on perineal pain and healing of episiotomy: a randomized placebo-controlled trial. J Integr Med. 2014;12(4):359-66.

11.

Nikpour M, Delavar MA, Khafri S, Ghanbarpour A, Moghadamnia AA, Esmaeilzadeh S, et al. The use of honey and curcumin for episiotomy pain relief and wound healing:A three group double blind randomized clinical trial. Nurs Midwifery Stud. 2019;8:64-9.

12.

Shahrahmani H, Kariman N, Jannesari S, Ghalandari S, Asadi N. A systematic review of the type of treatment methods to reduce pain and improve wound healing in Iran. Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;9(9):17-31.

13.

Tangeti S, Gabbita P, Ponnaluri RP, Kolasani BP. Comparative study of wound healing effect of topical Acacia catechu extract and silver sulfadiazine on excisional wound model in guinea pigs. Int J Basic Clin Pharmacol. 2018;7:2347-52.

14.

Vakili F, Mirmohammadaliei M, Montazeri A, Farokhi M, Minaee MB. Impact of Hypericum perforatum ointment on perineal pain intensity following episiotomy: A randomized placebo- controlled trial. J Caring Sci. 2018;7(4):205-211

CELLMED

e-Submission OA Policy