تأثیر پماد ترکیبی بابونه و گل همیشه‌بهار بر شدت درد اپی‌زیاتومی در زنان نخست‌زا

Introduction Episiotomy is one of the most important causes of postpartum pain, limiting the mothers' movement and ability to care the infant. This study aimed to investigate the effect of Chamomile-Marigold ointment on episiotomy pain in nulliparous women. Methods: This single-blind randomized clinical trial was conducted on 99 eligible women who referred to Shahid Akbarabadi Hospital in Tehran. After obtaining written informed consents, the participants were randomly assigned to intervention, placebo and control groups. 4 hours after delivery, the participants in the intervention group had to rub the ointment (in the size of knuckle) on the stitches and repeat it every 8 hours for ten days. The severity of episiotomy pain was evaluated before the intervention and on the 1st, 5th and 10th days after delivery using a 10-point Visual Analogue Scale (VAS). The data were analysed using Chi-square, ANOVA and Kruskal-Wallis tests at significance level of <0.05. Results: There was no statistically significant difference among the three groups before the intervention (p-value = 0.108). The mean pain intensity in the first, fifth and tenth days after delivery in the intervention group was 3.24 ± 1.20, 2.33 ± 1.65 and 1.33 ± 2.65, respectively, which was significantly lower than those in the two other groups (P-value =0.001). Conclusion: Given its anti-inflammatory effects, Chamomile-Marigold ointment can be used to relieve episiotomy pain and patients’ need for analgesics.