Episiotomy Wound Care through Herbal Preparations - A Case Report

Abstract

The word mother itself is symbolic to God. Mother suffers much distress after childbirth due to painful perineum. Pain following episiotomy appears to be universal. Proper healing of episiotomy wound after delivery is a major concern. In Ayurvedic classics Ghritkumari (Aloe vera) has been mentioned as Varna Ropaka and Vishvataghani due to its Sheeta properties. Various studies have demonstrated the power of Aloevera on moisturizing, wound healing, fibroblast activity, collagen proliferation, angiogenesis, anti-inflammatory, antibacterial, antifungal, antiviral & antioxidant effects. The application of Aloevera gel is best if extracted directly. The fresh gel from the plant has superior wound healing abilities. Allantoin, a substance in Aloevera, has considered a cell proliferant stimulant and a chemical debrider. Aloevera increases collagen content and degree of collagen cross – linkage within the wound.  A 27 years female patient (Primigravida) was admitted in PTSR IPD with FTP with Labor pains. She delivered a healthy female baby with Normal Spontaneous Vaginal Delivery with Right Mediolateral Episiotomy. To analyze the effect of Aloevera pulp dressing on perineal healing after a normal delivery with a right mediolateral episiotomy wound. Episiotomy wound was cleaned with Triphala decoction then fresh Aloevera pulp was applied every 8 hourly on episiotomy wound for consecutive seven days. This study is being done for determining the impact of fresh Aloevera pulp on episiotomy healing in a primiparous woman. The result was assessed by using REEDA Scale.