Dereli Sema YILMAZ, Gülşen VURAL, Said BODUR

Epizyotomi bakımında serum fizyolojik ve rivanolün iyileşme sürecine etkisi

Amaç: Epizyotomi, birçok hastanede primigravidalarda sıklıkla uygulanmaktadır. Epizyotomi bakımında standart bir uygulama yoktur. Bu çalışma ile serum fizyolojik (SF) ve rivanolün epizyotominin iyileşme süreci ve perine ağrısı üzerindeki etkisinin karşılaştırılması amaçlandı. Hastalar ve Yöntemler: Bu çalışma vajinal doğum yapan 60 primipar üzerinde yapıldı. Veri toplama sürecinde katılım koşullarına uygun, ilk 30 annenin epizyotomi bakımında rivanol kullanıldı (Grup 1). Grup 2'de ise SF kullanıldı. İlk veriler postpartum ilk dört saat içinde hastanede toplandı. 7., 14., 21. günlerdeki değerlendirmeler için anneler hastaneye davet edildi. Epizyotomi yarası REEDA skoru ile, ağrı ise Görsel Analog Skala ile değerlendirildi. Bulgular: Epizyotomi iyileşme sürecinde İki grup arasında toplam REEDA skoru yönünden 7., 14. ve 21. günlerde SF lehine fark saptandı. Ağrı bakımından 21. günde SF grubunda fark saptandı. Sonuç: Bu çalışmanın sonuçlarına göre epizyotomi yarasının iyileşmesinde SF rivanolden daha etkili bulunmuştur. Bu sebeple epizyotomi bakımında yara iyileşme sürecine yan etkisi bulunmayan ve bir kimyasal olmayan SF kullanımı önerilir.

The effect of serum physiological and rivanol on the process of recovery during episiotomy care

Objectives: Episiotomy is frequently performed in primigravidas in many hospitals. No standard application exists in episiotomy care. This study aimed to compare the effect of serum physiological (SP) and rivanol on the process of recovery and perineal pain during episiotomy care. Patients and Methods: The study was conducted with 60 primiparous women. During the process of data collection, rivanol was used for episiotomy care of the first 30 mothers who met the inclusion criteria (Group 1). Serum physiological was used in Group 2. The first data were collected in the first four hours of the postpartum in the hospital. Mothers were invited to the hospital for the evaluations on 7th, 14th, and 21st days. Episiotomy wound was evaluated with REEDA score and pain with Visual Analog Scale. Results: In episiotomy healing process, there was a difference between groups in favor of SP according to total scores of REEDA on the 7th, 14th and 21st days. There was a difference in SP group with respect to pain on the 21st day. Conclusion: According to the results of this study, SP was found to be more effective than rivanol in episiotomy healing. Therefore, the use of SP, which is non-chemical and has no side effects to the healing process, is suggested in episiotomy care.

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