Application of Complementary Medicine to Improve the process of postpartum Episiotomy Wound Healing

Introduction: Episiotomy is one of the most commonly used midwifery surgeries that needs care. Today, the use of complementary and alternative methods in promoting the quality of postpartum care has a special place. Therefore, this study was conducted to evaluate the efficacy of complementary therapies for episiotomy wound healing.materials and methods: A review of articles published in 2001 to 2017 in the pubmed, Google scholar, SID, Magiran, Irandoc and Medline databases linked to 32 articles was investigated Results: The results of this study showed that Marigold, Raee flower, aloe vera and turmeric, due to their healing, anti-inflammatory and antimicrobial properties, significantly increase episiotomy ulcer healing rate. Pineapple, saffron and olive oil are also substances that are effective in accelerating the process of episiotomy ulcer healing. Also, the use of pineapple, lavender essential oil, floral mistletoe, rose mildew, apple ointment and Aloe vera gel significantly reduce the amount of episiotomy pain and the amount of need for honey. Topical application of lavender cream is effective in relieving pain in the epinephrine ulcer repair. It is possible to use the combination of essential oil of lavender (olive oil) with olive oil base instead of iodine. This combination does not increase the incidence of pain and infection and reduce the inflammation of the wound. Among all the essential oils, Chamomile had no effect on the wound healing process, but chamomile cream accelerates the repair of episiotomy ulcers. Honey cream also does not reduce pain but it affects the speed of wound healing. Sitting bathing olive oil improves the damage to the perineum. Kegel exercises and muscle relaxation exercises, warm compresses, reduce episodes of pain after episiotomy. Even cold compresses over diclofenac suppositories and acetaminophen tablets have a greater effect on wound healing. Conclusion: The use of medicinal herbs to care for effective epizootic ulcers is effective, appropriate, affordable, low cost and free of chemical contamination and reduces the need for drug medication. It is necessary to provide adequate information and training for the use of these plants. However, further studies are needed to understand their possible effects and complications.

Keywords:

Episiotomy , Complementary Medicine , Healing , Anti-Inflammatory , Pain Reliever