الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Episiotomy is one of the most common surgical
operations in obstetrics performed to women (Lappen &
Gossett, 2010). Episiotomy sutures can cause considerable
discomfort and pain because the perineum is vascular and an
extremely tender area and the muscles of the perineum is
involved in many activities such as sitting, walking etc. Many
women experience no problem in healing from an episiotomy.
Others experience a long vaginal episiotomy repair process, if
the incision or tearing was unintentionally extended into the
rectum. Other complications include bleeding, infection,
swelling and local pain (Lynda, 2009).
Women with episiotomy face serious problems and
complication if not resolved well. The symptoms typically
associated with episiotomy are a major source of psychological
distress, the best way of providing care is to empower nurses
and health care providers to bring change in their daily
practices and incorporate the use of normal saline into nursing
practice. So, the application of normal saline is an effective
method of healing the episiotomy wound.
The study is Quasi experimental. Its aim is to assess the
effectiveness of saline dressing on episiotomy wound healing.
This aim is achieved through confirmed the following
hypothesis:Saline dressing will improve episiotomy wound healing.
This study was conducted at hospital in postnatal
”recovery room” at labor unit at Ain Shams Maternity
University Hospital before discharge from. And conducted
the follow up visits at 3rd, 7th, and 10th days at postpartum
period. The subjects of the present study included 160
women at the previously mentioned settings, and selected
under the following inclusion criteria: Postnatal women who
had normal vaginal delivery with episiotomy and Postnatal
women who were free from medical disorder that could delay
healing process as DM, obesity...etc.
There are three types of tools for data collection that
are used for achieving the aim of this study: women’s basic
data assessment tool designed by researcher. It is divided into
two parts to assess the socio demographic data, women
history as Obstetrical. As well as the episiotomy wound
healing assessment tool ”Standardized REEDA scale. to
assess the level of healing of episiotomy wound before and
after intervention: REEDA Scale is as a descriptive scale has
a four-point categorical scores (0-3) that measures five
components associated with the healing process they are
including: Redness, Edema, Ecchymosis, Discharge,
Approximation. Each item is rated on a scale of 0 to 3 and
total scores ranged from 0 to 15. The lesser score indicates
better healing.
As well as the Visual Analogue Scale (VAS) for
assessing level of pain to assess the level of pain The findings of the present study reached the following
conclusion:
Normal saline had a positive effect on the healing of
episiotomy wound among postnatal mothers in form of lower
REEDA scale score and pain scores by VAS.
In the light of the study findings, the following were
recommended:
Educational sessions to increase women awareness about
use of normal saline after episiotomy in form of leaflet or
consoling session should be adopted.
Integrate the saline dressing as a main part in discharge plan
Further research to be replicated on factors affecting
episiotomy wound healing.