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Experimental Result Paper | Nursing | India | Volume 12 Issue 1, January 2023
A Study to Assess the Effectiveness of Infrared Radiation Lamp Therapy on Episiotomy Wound Healing among Postnatal Mothers Admitted in Era Hospital Lucknow (U. P.)
Abstract: Background of the study: Gass MD (1986) 2 Stated that every woman who becomes pregnant has to undergo or cesarean delivery. Some time, it may be normal or forceps, vacuum or cesarean section. in normal process of delivery, perineum has to stretch far beyond its ordinary limits, as the baby is born. Most women body is capable of achieving this but some are not and the skin gives a way and tears. to prevent ?just in case tears?? an episiotomy is performed by health care provider or midwife. The wound should be assessed for edema, swelling, tenderness and discharge and also for localization pain. Puerperal infection is costly in terms of delayed mother infant interaction, lactation difficulties, prolonged hospital stay or readmission in hospital and increased expenses. 2 Henriksen TB, (1992-1999) 3 Described that Episiotomy is used widely today because it prevents lacerations heals better, easier to repair than a ragged tear, allows for easier and safer regression of the he ad thereby preventing possible brain damage reduced incidence of uterine prolaps in subsequent deliveries. If performed before, tissues are over stretched, shortens the second stage of labor and it may prevent painful hemorrhoids. It?s also performed for a majority of forceps deliveries especially in ATCs (axis traction forceps) and also with breech and face deliveries. Previously for the care of episiotomy, moist heat application like sits baths and hot packs were used to be in practice. As advancement in science took place. Dry heat applications came into existence like electric heat lamps per light, infrared rays etc. Horwitz, (1999) 4 Stated that the most commonly used in non-pharmacologic treatment of wound healing is infrared. Research conducted Ho rwitz, 1998, showed a significant improvement in wound using monochromatic infrared therapy. This study examines the various types of wound healing from extremity by using infrared energy 890 nanometres (nm) monochromatic wounds were irradiated using an infrared experienced downsizing and can even be closed again after the use of monochromatic infrared energy, maybe it is associated with increased local concentration of nitric oxide. Increased nitric oxide has previously been shown to correlate with vasodilatation and anabolic responses. Method: The study was conducted with the purpose of effectiveness of infrared lamp therapy (IFR) on wound healing among postnatal mothers in Department of Obstetrics & Gynecology Era Hospital Lucknow, U. P. In this study pre-experimental design was applied. Purposive sampling technique was used and to assign the 30 postnatal mothers who met the inclusion criteria. The routine perineal care given to postnatal mothers then administration of infrared radiation lamp therapy twice a day (morning & evening) given and procedure continued same for 3 consecutive days, first day (after delivery 6 to 12 hr)before pre-assessment of episiotomy wound and in evening after therapy post-assessment of episiotomy wound healing for continued 3 days. Episiotomy wound was assessed by using observational check list REEDA scale. Data were collected pre & post intervention once in a day for 3 consecutive days. Result: The result revealed that there was significant effect of IFR therapy on episiotomy wound healing (p<0.001). The study concluded that, infrared lamp therapy is an appropriate method of care for episiotomy wound healing level among women at puerperium period. The use of infrared lamps as a dry heat is a simple nursing intervention for postnatal mothers and modality for quicker wound healing and thereby enhancing comfort. Conclusion: From the findings of the study, it has been observed that infrared lamp therapy is beneficial on wound healing process. Infrared lamp therapy is a dry heat modality compared with other types of superficial heat therapy. It is a much simple, cost-effective complementary therapy and it also enables the nurses to provide holistic nursing care and prevent complications more effectively.
Keywords: Infrared Lamp Therapy, Episiotomy Wound
Edition: Volume 12 Issue 1, January 2023,
Pages: 113 - 115