How A Cold Sitz Bath Versus Infrared Therapy Can Remove the Pain of Postpartum Perineal Wounds
Abstract
Women who suffer perineal trauma in spontaneous labor experience pain and edema as the most common problems on the first day after delivery. Impaired mobility and a limited ability to carry out daily activities will affect the mother-baby bond. The study of the cold sitz bath intervention and infrared treatment aims to find out how these interventions can overcome the pain of perineal wounds in postpartum mothers. A quasi-experimental design was used to assess both interventions for treating pain in perineal trauma at the Madina Clinic and Sundari Hospital. The sample consisted of 40 mothers, 20 in the cold sitz bath (intervention group) and 20 in the infrared therapy (control group). Pain was measured using a numerical scale from day one to day three of the postpartum period and then the data were analyzed using the paired t-test statistical test. The results of this study revealed that the cold sitz bath hydrotherapy had a significant effect in reducing pain (p = 0.004), as well as infrared therapy (0.008). Although on the third day of the postpartum period, infrared therapy did not significantly reduce the pain level; several other factors could contribute to the significant differences in pain intensity reduction such as comfort, convenience, and the economic value of the intervention.
Keywords
Full Text:
PDFReferences
Balakrishnan, V., & Soman, S. (2019). Effect of Infrared Light Therapy on Episiotomy Pain and Wound Healing among Postnatal Mothers. 8(3), 1543–1548.
Campbell, C. M., & Edwards, R. R. (2012). Ethnic differences in pain and pain management. Pain Management, 2(3), 219–230.
de Bernis, L., Sherratt, D. R., AbouZahr, C., & V. L. (2003). Skilled attendants for pregnancy, childbirth and postnatal care. British Medical Bulletin, 67(1), 39–57.
Dewi, V. N., & Ayuningtyas, I. F. (2015). Infrared is more effective in perineum wound healing during postpartum than iodine. Int J Res Med Sci, 3(1), S6–S9.
Edwards, C. L., Fillingim, R. B., & Keefe, F. (2001). Race, ethnicity and pain. Pain, 94(2), 133–137.
Enkin, M. W., Keirse, M. J., Renfrew, M. J., & Neilson, J. P. (1995). Effective care in pregnancy and childbirth: a synopsis. Birth, 22(2), 101–110.
Gale, G. D., Rothbart, P. J., & Li, Y. (2006). Infrared therapy for chronic low back pain: a randomized, controlled trial. Pain Research and Management, 11(3), 193–196.
Geytenbeek, J. (2002). Evidence for effective hydrotherapy. Physiotherapy, 88(9), 514–529.
Helen. (2009). Perawatan Maternitas (2nd ed.; editor bahasa I. Y. asih alih bahasa Andry Hartono, Ed.). Jakarta: EGC.
Hernawati I. (2014). Analisis Kematian Ibu di Indonesia tahun 2010-2011. Retrieved from http://www.kesehatanibu.depkes.go.id/archives/206, Accessed 20 April 2019
Horwitz LR, Burke TJ, C. D. (1999). Augmentation of wound healing using monochromatic infrared energy. Adv Wound Care, 12, 35–40.
Jacob, A. (2007). Clinical Nursing Procedures: The Art of Nursing Practice Jacob.
Kemenkes. (2012). Profil Kesehatan Indonesia. Retrieved from https://www.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2012.pdf
Larsson, P. G., Platz-Christensen, J. J., Bergman, B., & Wallstersson, G. (1991). Advantage or disadvantage of episiotomy compared with spontaneous perineal laceration. Gynecologic and Obstetric Investigation, 31(4), 213–216.
McPhee, S. J., Papadakis, M. A., & Rabow, M. W. (2010). Current medical diagnosis & treatment. New York:: McGraw-Hill Medical.
Netter, F. H. (2017). Atlas of human anatomy, plate 46. Philadelphia, PA: Elsevier.
Padubidri, V., & Anand, E. (2006). Textbook of obstetrics. BI Publications Pvt Ltd.
Ramler, D., & Roberts, J. (1986). A comparison of cold and warm sitz baths for relief of postpartum perineal pain. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 15(6), 471–474.
Reem Bassiouny Mahmoud El-Lassy, A. A. E.-A. M. M. (2019). The effect of infrared lamp therapy on episiotomy wound restorative besides pain relief among post-partum women. Journal of Nursing Education and Practice, 9(2), 20–30.
Sleep, J. (1991). Perineal care: a series of five randomised controlled trials. Midwives, Research and Childbirth, 2, 199–251.
Sule, S. T., & Shittu, S. O. (2003). Puerperal complications of episiotomies at Ahmadu Bello University teaching hospital, Zaria, Nigeria. East African Medical Journal, 80(7), 351–356.
Tejirian, T., & Abbas, M. A. (2005). Sitz bath: where is the evidence? Scientific basis of a common practice. Diseases of the Colon & Rectum, 48(12), 2336–2340.
V. Dhanalakshmi. (2010). Best remedial measure after Episiotomy? Sitz ? Or Infrared Light Therapy?bath. Nightingale Nursing Times, 5(12)(Mar), 6–12.
Venkadalakshmi, V., Venkatesan, L., & Perdita, H. M. (2010). Effect of infrared therapy on episiotomy pain and wound healing in postnatal mothers. Nursing Journal of India, 101(9), 212.
Yang, Y. J., Xu, Y. M., Chen, W. C., Zhu, J. H., Lu, J., & Zhong, B. L. (2017). Prevalence of pain and its socio-demographic and clinical correlates among heroin-dependent patients receiving methadone maintenance treatment. Scientific Reports, 7(1), 1–6.
Refbacks
- There are currently no refbacks.