Effectiveness of Ice Pack and Warm Water on the Pain Intensity of Perineum Wound: A Randomized Clinical Trial

Authors

  • Herinawati Department of Midwifery, Health Polytechnic of Jambi, Indonesia
  • Dewi Nopiska Lilis Department of Midwifery, Health Polytechnic of Jambi, Indonesia
  • Murdayah Department of Midwifery, Health Polytechnic of Jambi, Indonesia
  • Enny Susilawati Department of Midwifery, Health Polytechnic of Jambi, Indonesia
  • Iksaruddin Department of Health Promotion, Health Polytechnic of Jambi, Indonesia

Keywords:

Perineal pain, Post-partum, Ice pack, Warm compress

Abstract

This study aims to compare the effectiveness of using ice packs and warm compresses to reduce perineal wound pain in postpartum mothers. This type of research is a quasi-experimental study using a two-group pretest-posttest design. The sample selection technique in this study was accidental sampling, with a total sample of 70 respondents consisting of 36 postpartum mothers at Putri Ayu Public Health Center and 34 postpartum mothers at Pakuan Baru Public Health Center. The statistical test used the Wilcoxon and Mann Whitney test at a significance level of 95%. The intensity of perineal wound pain was chosen at intervals of 7-9 for both groups (ice pack and warm compress). The Wilcoxon statistical test results found the effect of giving ice packs in reducing the intensity of perineal wound pain (0.000), while warm compresses did not affect (0.102). The results of the Mann-Whitney test found that ice pack interventions were more effective in reducing perineal wound pain. It was concluded that ice packs could be used to treat perineal wound pain in postpartum mothers.

References

. A. Purwaningsih, H. Rahayu, and K. Wijayanti, “Effectiveness of warm compress and cold compress to reduce laceration perineum pain on primiparous at Candimulyo Magelang 2015,” International Journal of Research in Medical Sciences, vol. 3, no. 1, pp. S24–S29, 2015, doi: 10.18203/2320-6012.ijrms20151516.

. S. Damanik and N. Siddik, “Hubungan Karakteristik Ibu Bersalin dengan Ruptur Perineum di Klinik Bersalin Hj. Nirmala Sapni Krakatau Pasar 3 Medan,” Jurnal Bidan Komunitas, vol. 1, no. 2, pp. 95–103, 2018.

. L. Christianson, V. Bovbjerg, E. McDavitt, and K. Hullfish, “Risk factors for perineal injury during delivery,” American journal of obstetrics and gynecology, vol. 189, pp. 255–260, Jul. 2003, doi: 10.1067/mob.2003.547.

. K. Wijayanti and R. H. S. Esti, “Effectiveness of binahong decoction water (Anredera cordifolia (ten) steenis) for perineal wound healing at home delivery aesya grabag Magelang, Indonesia,” International Journal of Research in Medical Sciences, vol. 5, no. 5, pp. 1970–1975, 2017, doi: 10.18203/2320-6012.ijrms20171827.

. A. Rohmin, B. Octariani, and M. Jania, “Faktor Risiko yang Mempengaruhi Lama Penyembuhan Luka Perineum pada Ibu Post Partum (Risk Factor Affecting the Period of Perineal Wound Healing in Postpartum Mothers),” Jurnal Kesehatan, vol. 8, no. 3, pp. 449–454, 2017.

. S. Golezar, “Ananas comosus Effect on Perineal Pain and Wound Healing After Episiotomy: A Randomized Double-Blind Placebo-Controlled Clinical Trial,” Iranian Red Crescent medical journal, vol. 18, no. 3, pp. e21019–e21019, Mar. 2016, doi: 10.5812/ircmj.21019.

. S. Kenyon and F. Ford, “How can we improve women’s postbirth perineal health,” MIDIRS Midwifery Digest, vol. 14, no. 1, pp. 7–12, 2004.

. K. Gottvall, P. Allebeck, and C. Ekeus, “Risk factors for anal sphincter tears: the importance of maternal position at birth,” BJOG: An International Journal of Obstetrics & Gynaecology, vol. 114, no. 10, pp. 1266–1272, 2007.

. I. Mora-Hervás, E. Sánchez, F. Carmona, and M. Espuña-Pons, “Perineal trauma in primiparous women with spontaneous vaginal delivery: Episiotomy or second degree perineal tear?,” International Journal of Women’s Health and Reproduction Sciences, vol. 3, no. 2, pp. 84–88, 2015, doi: 10.15296/ijwhr.2015.16.

. C. de Souza Bosco Paiva, S. M. de Oliveira, A. Amorim Francisco, R. L. da Silva, E. de Paula Batista Mendes, and M. Steen, “Length of perineal pain relief after ice pack application: A quasi-experimental study,” Women and birth : journal of the Australian College of Midwives, vol. 29, no. 2, p. 117—122, Apr. 2016, doi: 10.1016/j.wombi.2015.09.002.

. J. Bobak, Lowdermilk, Buku Ajar Keperawatan Maternitas Edisi 4. Jakarta: EGC, 2005.

. A. A. Francisco, M. H. Kinjo, C. de S. Bosco, R. L. da Silva, E. de P. B. Mendes, and S. M. J. V. Oliveira, “Association between perineal trauma and pain in primiparous women,” Revista da Escola de Enfermagem da USP, vol. 48, no. SPE, pp. 39–44, 2014.

. C. E. East, M. Sherburn, C. Nagle, J. Said, and D. Forster, “Perineal pain following childbirth: prevalence, effects on postnatal recovery and analgesia usage.,” Midwifery, vol. 28, no. 1, pp. 93–97, Feb. 2012, doi: 10.1016/j.midw.2010.11.009.

. M. Macleod, K. Goyder, L. Howarth, R. Bahl, B. Strachan, and D. J. Murphy, “Morbidity experienced by women before and after operative vaginal delivery: prospective cohort study nested within a two-centre randomised controlled trial of restrictive versus routine use of episiotomy.,” BJOG : an international journal of obstetrics and gynaecology, vol. 120, no. 8, pp. 1020–1026, Jul. 2013, doi: 10.1111/1471-0528.12184.

. E. R. Declercq, C. Sakala, M. P. Corry, S. Applebaum, and A. Herrlich, “Major Survey Findings of Listening to Mothers(SM) III: Pregnancy and Birth: Report of the Third National U.S. Survey of Women’s Childbearing Experiences,” The Journal of perinatal education, vol. 23, no. 1, pp. 9–16, 2014, doi: 10.1891/1058-1243.23.1.9.

. E. S. Rahmawati, “Pengaruh Kompres Dingin Terhadap Pengurangan Nyeri Luka Perineum Pada Ibu Nifas di BPS Siti Alfirdaus Kingking Kabupaten Tuban,” Jurnal Sain Med, vol. 5, no. 2, pp. 43–46, 2013.

. S. Susilawati, M. Patimah, and M. S. Imaniar, “Determinan Percepatan Penyembuhan Luka Perineum pada Ibu Nifas dengan Pemberian Konsumsi Ikan Gabus (Channa Striata),” Faletehan Health Journal, vol. 7, no. 03, pp. 132–136, 2020.

. S. Navvabi, Z. Abedian, and M. Steen-Greaves, “Effectivness of cooling gel pads and ice packs on perineal pain,” British Journal of Midwifery, vol. 17, no. 11, pp. 724–729, 2009, doi: https://doi.org/10.12968/bjom.2009.17.11.45030.

. V. Chapman, Asuhan Kebidanan Persalinan dan Kelahiran. Jakarta: EGC, 2006.

. T. A. Hastuti, A. Mudigdo, and U. R. Budihastuti, “Age, Parity, Physical Activity, Birth Weight, and the Risk of Perineum Rupture at PKU Hospital in Delanggu, Klaten, Central Java,” Journal of Maternal and Child Health, vol. 01, no. 02, pp. 93–100, 2016, doi: 10.26911/thejmch.2016.01.02.04.

. Suryani, “Faktor-Faktor Yang Berhubungan Dengan Ruptur Perineum Pada Persalinan Normal,” Jurnal Kesehatan, vol. 4, no. 1, pp. 277–283, 2015.

. F. Oxern, Ilmu Kebidanan: Patologi & Fisiologi Persalinan. Yogyakarta: Andi Offset, 2010.

. S. Timbawa, R. Kundre, and Y. Bataha, “Hubungan Vulva Hygiene Dengan Pencegahan Infeksi Luka Perineum Pada Ibu Post Partum Di Rumah Sakit Pancaran Kasih Gmim Manado,” Jurnal Keperawatan UNSRAT, vol. 3, no. 2, p. 108128, 2015.

. S. Andarmoyo, Konsep dan Proses Keperawatan Nyeri. Yogyakarta: Ar- Ruzz, 2013.

. Tamsuri, Konsep Dan penatalaksanaan nyeri. Jakarta: EGC, 2007.

. W. Wenniarti, P. W. Muharyani, and J. Jaji, “Pengaruh Terapi Ice Pack Terhadap Perubahan Skala Nyeri Pada Ibu Post Episiotomi,” Jurnal Kedokteran dan Kesehatan, vol. 3, no. 1, pp. 377–382, 2016.

. H. Mohamed and N. El-Nagger, “Effect of Self Perineal Care Instructions on Episiotomy Pain and Wound Healing of Postpartum Women,” Journal of American Science, 2012;8(6), vol. 8, Mar. 2012.

. P. D. Hill, “Effects of Heat and Cold on the Perineum after Episiotomy/Laceration,” Journal of Obstetric, Gynecologic, & Neonatal Nursing, vol. 18, no. 2, pp. 124–129, 1989, doi: 10.1111/j.1552-6909.1989.tb00475.x.

Downloads

Published

2021-07-02

How to Cite

Herinawati, Nopiska Lilis, D. ., Murdayah, Susilawati, E. ., & Iksaruddin. (2021). Effectiveness of Ice Pack and Warm Water on the Pain Intensity of Perineum Wound: A Randomized Clinical Trial. International Journal of Sciences: Basic and Applied Research (IJSBAR), 59(1), 178–187. Retrieved from https://www.gssrr.org/index.php/JournalOfBasicAndApplied/article/view/12673

Issue

Section

Articles