Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Dec 1;7(4):205-211.
doi: 10.15171/jcs.2018.031. eCollection 2018 Dec.

Impact of Hypericum Perforatum Ointment on Perineal Pain Intensity Following Episiotomy: a Randomized Placebo-Controlled Trial

Farzaneh Vakili  1 , Mandana Mirmohammadaliei  1 , Ali Montazeri  2 , Mina Farokhi  1 , Mohammad Bagher Minaee  3
Affiliations

Impact of Hypericum Perforatum Ointment on Perineal Pain Intensity Following Episiotomy: a Randomized Placebo-Controlled Trial

Farzaneh Vakili et al. J Caring Sci. .

Abstract

Introduction: The present study was conducted to evaluate the effects of Hypericum Perforatum ointment on perineal pain intensity following episiotomy among primiparous women. Methods This triple-blind clinical trial was performed on 98 eligible primiparous women referring to selected educational hospital of Tehran University of Medical Sciences for normal vaginal delivery. Block Randomization (in 1; 1 ratio) was used to categorize the participants continuously into two groups: intervention (using Hypericum Perforatum ointment) and control (using placebo ointment). Participants in each group used ointments (about 3 grams each time) on episiotomy site, twice a day and for a period of ten days. Our primary outcome was the pain intensity in different intervals following episiotomy. The data were analyzed by SPSS software (version 13) using student's t test, Mann-Whitney U test and chi-square test. Results: We missed 14 participants during the study and analyzed the data from 42 participants in each group. The mean of pain scores revealed no significant differences before (mean difference=-0.33; P=0.46) and four hours (mean difference=0.57; P=0.13) after ointments use, between the intervention and control groups, while these differences were significant after eight hours (mean difference=2.17; P<0.001), five days (mean difference=2.20; P<0.001) and ten days (mean difference=2.21; P<0.001) following the intervention. Conclusion: Using Hypericum Perforatum ointment as a noninvasive, simple and effective topical formulation, can significantly reduce pain intensity of episiotomy site.

Keywords: Episiotomy; Hypericum; Pain; Perineum.

PubMed Disclaimer

Figures

Figure 1
Figure 1
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Boyle M. Wound healing in midwifery. 1st ed. United Kingdom: Radcliffe Publishing; 2006.
    1. Falen TJ, Liberman A. Learning to code with ICD-9-CM for health information management and health services administration 2007. 1st ed. Philadelphia: Lippincott Williams & Wilkins; 2007.
    1. Jovanovic NS, Kocijancic MD, Terzic MM. Current approach to episiotomy: inevitable or unnecessary? Cent Eur J Med. 2011;6(6):685–90. doi: 10.2478/s11536-011-0088-z. - DOI
    1. Handa VL, Blomquist JL, McDermott KC, Friedman S, Muñoz A. Pelvic floor disorders after childbirth: effect of episiotomy, perineal laceration, and operative birth. Obstet Gynecol. 2012;119(2 Pt 1):233–39. - PMC - PubMed
    1. Ho JJ, Pattanittum P, Japaraj RP, Turner T, Swadpanich U, Crowther CA. et al. Influence of training in the use and generation of evidence on episiotomy practice and perineal trauma. Int J Gynecol Obstet. 2010;111(1):13–8. doi: 10.1016/j.ijgo.2010.04.035. - DOI - PMC - PubMed

LinkOut - more resources