J Caring Sci. 2017;6(1): 19-28.
doi: 10.15171/jcs.2017.003
PMID: 28299294
PMCID: PMC5348659
  Abstract View: 648
  PDF Download: 489

Original Research

The Effect of Chamomile Cream on Episiotomy Pain in Primiparous Women: A Randomized Clinical Trial

Maryam Aradmehr 1, Sedigheh Azhari 2 * , Sedigheh Ahmadi 3, Elham Azmoude 4

1 1Department of Midwifery, School of Nursing and Midwifery, Islamic Azad University, Gonabad Branch, Gonabad, Iran
2 2Department of Midwifery, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
3 3Department of Midwifery, Razi Hospital Torbat Heydariyeh, Torbat Heydariyeh, Iran
4 4Department of Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran


Introduction: Episiotomy is a surgical incision made in the perineum to enlarge it. Perineal pain is the most common complaint of mothers after episiotomy. Chamomile extract has been proposed as a sedative in traditional medicine. This study was conducted to assess the effect of chamomile cream on the pain after episiotomy. Methods: This triple blind clinical trial was performed on 114 eligible women at Ommolbanin Hospital in Mashhad, Iran in 2014.They were randomly assigned to two groups using random blocks. After delivery, mothers in the intervention group used 0.5 g of prescribed chamomile while the control group used placebo cream on the stitch twice a day lasting ten days. Episiotomy pain was evaluated before intervention and 12 hours after episiotomy repair and also on the first, seventh, tenth and fourteenth day after delivery by McGill pain questionnaire. Data was analyzed by SPSS ver.13. Results: There was no significant difference between the two groups before the intervention, 12 hours and the first day after delivery. However, a significant difference was found on the seventh, tenth and fourteenth day after delivery. McGill mean (SD) score on the seventh, tenth and fourteenth in experimental group was 11.36 (5.04), 4.44 (3.43) and 7.16 (4.10) respectively. It was reported 14.88 (7.34), 7.41(4.92) and 9.96 (4.81) in placebo group, respectively. Conclusion: Chamomile cream can be used to reduce episiotomy pain in Primiparous us women.

Keywords: Chamomile oil, Episiotomy, Perineum, Pain
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Submitted: 01 Mar 2017
Accepted: 01 Mar 2017
ePublished: 01 Mar 2017
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