The Effectiveness of Coleus Amboinicus l. Leaves Extract Solution for Grade II Laceration of the Perineal Tears in Postpartum Mothers

Abstract

Vaginal laceration (perineal tears) is one of the risks that often occurs in the process of vaginal delivery, because of the intense stretching and pressure in the birth canal when the mother pushes to deliver her baby, causing tears in the skin and muscle tissue around the birth canal. Treating birth perineal laceration is very important to accelerate healing and prevent infection of the birth canal and bladder in postpartum mothers. The leaves have a composition that can be used as an antimicrobial and antiseptic. This study aims to determine the effectiveness of a solution of extracts of the leaves of Coleus amboinicus on pain and healing of perineal lacerations in postpartum mothers. This type of quantitative research with experimental design. The research sample of postpartum mothers met the inclusion criteria, pain observation using the UPAT scale and wound healing using the REEDA scale, data analysis with the WMean Score. The results showed that postpartum pain decreased on the 5th day with an average of 1.97 (mild pain), and the healing time of perineal lacerations occurred on the 5th day, with a mean of 2.90 (good). Wax leaf extract solution is effective in reducing pain and healing time for second-degree perineal lacerations in postpartum mothers

Yoga Practice on Reducing Menstrual Pain Intensity (Dysmenorrhea) in Adolescent Girls: Literature Review

“…For the duration of yoga practice, the 10 articles show that yoga practice per session ranges from 30-60 minutes, this duration is by the theory put forward by (Arini et al, 2020;Hapsari et al, 2021) which says that yoga practice is carried out 20-60 minutes, once a day regularly is quite effective in reducing the intensity of menstrual pain. After doing yoga exercises to determine the intensity of menstrual pain, measurements can be carried out using the Numeric Rating Scale (NRS) measuring instrument for measuring pain intensity because the assessment test can determine the level of pain that a person feels is good or bad (Pakpahan & Sianturi, 2022;Suparta & Astrina, 2020;Tilong, 2017), and Visual Analog Scale (VAS) where this instrument is used to measure the level of menstrual pain in young women. In measuring this pain scale, a straight line that represents continuous pain intensity and has a verbal depiction tool at each peak is the VAS (McGovern & Cheung, 2018;Pujiati, 2017aPujiati, , 2017b.…”

“…Based on (Lestari & Putri, 2018), pain is a condition in the form of an unpleasant feeling, is very subjective, and the pain in each person varies in terms or levels. There are two types of instruments used to measure the intensity of menstrual pain, namely, the Numeric Rating Scale (NRS) or pain intensity measurement instrument, because the assessment test can determine the level of pain that a person feels is good or bad (Pakpahan & Sianturi, 2022), and VAS is a measurement seriousness of pain that is more sensitive because the client can recognize each series point rather than being forced to choose one word or one number (Pakpahan & Sianturi, 2022). (Arini et al, 2020) Mann-Whitney U test Wilcoxon p = 0.002 p = 0.001 (Sari et al, 2018) Wilcoxon test p = 0.001 < 0.05 p = 0.492 > 0.05 (Syah & Putri, 2019) p = 0.001 < 0.05 (Hadianti & Ferina, 2021) p = 0.001 (p<0.05) (Nababan et al, 2021) p = 0.001 (p<0.05) (Ira et al, 2021) Wilcoxon test p = 0.001 < 0.05 (McGovern & Cheung, 2018) Wilcoxon test p = 0.001 < 0.05 (Azizah et al, 2022) -- (Kim, 2019) p = 0.001 (<0.05) (Mohebi et al, 2018) Paired T-test Independent T-test.…”

Continuous non-locking vs. interrupted suturing techniques for the repair of episiotomy or second-degree perineal tears: A single-blind randomized controlled trial

“…Perineal trauma may occur spontaneously during childbirth or as a result of a surgical incision made by an obstetrician or a midwife (episiotomy) to increase the diameter of the vaginal outlet to facilitate childbirth ( 2 ). According to the World Health Organization (WHO), the incidence of perineal tears in 2015 was 2.7 million cases, which is estimated to reach 6.3 million in 2050 in the world, with 50% of these cases occurring in Asia ( 3 ). In Iran, the actual rate of episiotomies is unknown, but according to the available data, it has been reported to range from 41.5% to 97% ( 4 ).…”