To Assess the Factor Responsible for Episiotomy Wound Healing Among Post Natal Mother

Abstract

Pregnancy is a long and very exciting special journey for an antenatal woman. Maternity services should support the mother, her baby and her family during this journey with a view not only to their short-term safety but also to their long-term well being (UK Department of Health 1993).Objectives: 1. To assess the factors responsible for episiotomy wound healing among postnatal mother. 2. To associate the assessment of level of healing of episiotomy wound among postnatal mothers with selected demographic variables. Present quasi experimental quantitative study was conducted to assess the factors responsible for episiotomy wound healing among postnatal mothers. 60 subjects were selected based on the inclusion and exclusion criteria and non-probability convenience sampling technique. Structured observational checklists were used as tools to collect the data. The analysis of data shows 71.66% of the postnatal mothers of anaemia, 10% of the have vulvovaginitis, 23.33% of had urinary tract infection, 1.66% of had surgical site infection, 8.33% of had perineal tear, 6.66% of had before episiotomy, 100% of had after episiotomy, 1.66% of had obesity, 11.66% of had hypothyroidism, 6.66% of had diabetes mellitus, 16.66 of had hypertension, 83.33% of had edema. The discomfort of episiotomy is an added concern in the already overstressed situation. Episiotomy, despite evidence that it is an unnecessary intervention, is one of the most common surgical procedures performed during the second stage of labour especially in Primigravida women. Perineal trauma due to episiotomy causes a number of distressing conditions in the postnatal period. It causes pain, discomfort, disturbed normal activities; it gives the mother a feeling of inadequacy, increased the risk of infection, prolongs postnatal recovery and increased the cost of healthcare. After the detailed analysis, this study the study shows various risk factors affects the health status of postnatal mother and need to focus on that to improve health status of PNC mother after delivery.