Comparative Effect of Air Heat Versus Infra Red Heat on Pain and Wound Healling After Vaginal Delivery Episiotomy

Study Overview
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Brief Summary
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To become mother is a beautiful gift given by God to woman. Giving birth is a powerful and life changing even with a lasting impact on women and their families. Pregnancy and labor are exceptional occasions in women's lives. Post-delivery is very decisive period for compassionate woman who had under gone episiotomy which is a throbbing and disquiet procedure during this time. Episiotomy wound healing takes weeks to years depending on health conditions and treatment of the perineum itself. Episiotomy care is very essential, if neglected it can lead to severe complications like infection, wound gapping.

Official Title
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Comparative Effect of Air Heat Versus Infra Red Heat on Pain and Wound Healling After Episiotomy

Conditions
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Episiotomy Wound

Intervention / Treatment
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* Procedure: Infra-red lamp therapy + Kegal Exercises
* Procedure: Dry air heat group + Kegal Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Primiparous women Postnatal mothers delivered within 12-24hours. Have a normal vaginal delivery with episiotomy fand Second degree episiotomy. Exclusion Criteria: Instrumental Delivery ( Forceps/ventous) Lower segment Cesarian section History of medical problem as hypertension and diabetes or anemia Perineal tear Infected wound Twin pregnancy

Ages Eligible for Study
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Minimum Age: 18 Weeks
Maximum Age: 40 Months

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: physical therapy Dry air heat group along with kegel exercise<br>Woman should lie on the bed without panties or the sanitary Pad. Place towels under buttocks to absorb any vaginal discharge. She should lie on her back with the knees bent and feet flat. Let the vagina dry by holding a hair dryer 10 to 12 inches away from episiotomy. The dry heat will gives a soothing effect on the wound | Procedure: Dry air heat group + Kegal Exercises<br>* Woman should lie on the bed without panties or the sanitary Pad. Place towels under buttocks to absorb any vaginal discharge. She should lie on her back with the knees bent and feet flat. Let the vagina dry by holding a hair dryer 10 to 12 inches away from episiotomy. The dry heat will gives a soothing effect on the wound<br>|
| Active Comparator: therapeutics execise Infra-red lamp therapy along with kegel execise<br>The infrared the infrared lamp will be placed at distance of 45 cm away from the perineum with the heat emitted with 220 volts used for 10-15 minutes IRR is beneficial for promoting wound healing, tissue repair, and skin rejuvenation. | Procedure: Infra-red lamp therapy + Kegal Exercises<br>* The infrared the infrared lamp will be placed at distance of 45 cm away from the perineum with the heat emitted with 220 volts used for 10-15 minutes IRR is beneficial for promoting wound healing, tissue repair, and skin rejuvenation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| REEDA Scale | REEDA Scale (Redness, Edema, Ecchymosis, Discharge and Approximation of the wound edges) | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NPRS Numerical Pain Rating Scale | Pain intensity is frequently measured on an 11-point pain intensity numerical rating scale (PI-NRS), where 0 = no pain and 10 = worst possible pain. The studies had similar designs and measurement instruments, including the PI-NRS, collected in a daily diary, and the standard seven- point patient global impression of change (PGIC), collected at the endpoint. The changes in the PI-NRS from baseline to the endpoint were compared to the PGIC for each subjec | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Air Heat, Infrared Heat, Episiotomy, Kegel Exercises, Pain Relief