Study Into Female Pain During Childbirth

Study Into Female Pain During Childbirth SUMMARY Delivery is a one of the miracle of every womens life. The mothers suffer much distress. After child birth due to painful perineum. Perineal pain is most commonly associated with child birth by vaginal delivery. Pain following episiotomy appears to be universal. The mother undergoing episiotomy is characterised by greater blood loss in conjunction with delivery, and there is a risk of improper wound healing and increased pain during early puerperium. Various interventions are found to aid the healing process, which include cleanliness, applying ice pack, topical application by dry heat (infrared therapy), sitz bath performance of kegels exercise and perineal care. Any outward incident in the family may cause shees and stain which in turn will affect the psychological well being of the mother. Aromatherapy is effective for reducing labor pain, decreasing stress hormones, alleviating depression and anxiety, and increasing interactive behaviors between parent and child. Lavender oil is a great aid to perineal healing. So, the investigator assessed the effectiveness of lavender oil sitz bath on reduction of episiotomy wound healing and psychological wellbeing among postnatal mothers in Gani hospital, Tirunelveli district, Tamil Nadu. Objectives of the study were To assess and compare the pre and post test level of episiotomy wound status and psychological wellbeing among the experimental group of postnatal mothers. To assess and compare the pre and post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers. To compare the pre test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. To compare the post test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. To associate the post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers with selected demographic variables The assumptions of this study were The assumptions of the study were. Unhealing and inadequate care of episiotomy wound may predispose to vulval haematoma, infection, wound dehiscence and scar endometriosis. Lavender oil sitz bath may improve the wound healing psychological wellbeing. Hypotheses of the study were RH1 There is a significant difference between pre and post test level of episiotomy wound status and psychological wellbeing among the experimental group of postnatal mothers. RH2 There is a significant difference between pre and post test level of episiotomy wound status and psychological wellbeing among the control group of postnatal mothers. RH3 There is a significant difference in pre test level of episiotomy wound status and psychological wellbeing between the experimental and the control group of postnatal mothers. RH4 There is a significant difference in post test level of episiotomy wound status and psychological wellbeing between the experimental and the control of group of postnatal mothers. RH5 There is a significant association of post test level of episiotomy wound status and psychological wellbeing among the experimental and the control group of postnatal mothers with selected demographic variables. Review of literature collected for the studies related to The literature gathered from exclusive review is depicted under the following heading. Section A: Literature related to episiotomy. Section B: Literature related to episiotomy wound healing. Section C: Literature related to psychological wellbeing of mother with episiotomy. Section D: Literature related to lavender oil sitz bath on episiotomy wound healing and psychological wellbeing The conceptual frame work opted for the study was based Ludwig Von Bertalarffy `s general system theory and it provided a complete framework in order to achieve the objectives of the study. The research design selected for the study was true experimental pre and post only design was used and the study was conducted in the postnatal ward in Gani Hospital, Tirunelveli Dist, and Tamil Nadu. The tool used for data collection consisting of demographic variables which include age, education status, work pattern, type of the family and parity. The assessment level of episiotomy wound and psychological wellbeing among the experimental group and the control group were measured by using REEDA scale and structured observation check list . The tool was validated by 2 experts in the field of obstetrician and gynecologist and 3 experts in obstetrician and gynecologist nursing personnel and the reliability of the tool was established by interpreter reliability method. The value of the reliability was r=0.9. The tool was highly reliable to conduct the main study. The pilot study was conducted in Gani Hospital, Tirunelveli district among 6 samples out of which 3 were in the experimental group and 3 were in the control group of postnatal mothers. The experimental group received lavender oil sitz bath but no one had lavender oil sitz bath in control group. The finding revealed the feasibility, reliability and practicability of the tool for conducting main study. No modification was made after pilot study. Pilot study period was 4 consecutive days from28-4-2010 to1-5-2010 from 9am to5pm. The main study was conducted at Gani Hospital, Tirunelveli district. Tamil Nadu. The 60 postnatal mothers who fulfilled the inclusive and exclusive criteria were selected for the study ,out of which 30 mothers were the experimental group and 30 of them were the control group . Sample was selected by using simple random sampling method by Lottery method. Mothers who came under group A lottery will come under the experimental group of mother and mother who came under group B lottery will come under the control group of mothers. The investigator gave lavender oil sitz bath to the experimental group . Lavender oil sitz bath is Lavender oil is added with warm water in a basin and asked the mother to sit for 15 minutes 2 times per day about 3 days in the experimental group. Hospital routine care was given to the control group. The collected data was analyzed and interpreted based on the objective by using descriptive and inferential statistics. The findings of the study revealed that the calculated t value was 8.75 which showed highly statistical significant difference in post test level of episiotomy wound status and psychological wellbeing among the experimental group and the control group of postnatal mother at p