Applying of Amniotic Membrane Versus Traditional Dressing for Pain and Wound Healing after Cesarean Section

Abstract

Background: In Egypt , the number of caesarean sections performed has increased, but so have the difficulties and issues related to this procedure. The use of conventional and biological therapies in the healing and prevention of caesarean wound infections has increased as a result of factors such problems related to caesarean scars, the high expense of chemical treatments, and the ineffectiveness of pharmaceuticals in treating conditions. Aim: This research aims to compare between applying of amniotic membrane versus traditional dressing for pain and wound healing after cesarean. Research Design: A comparative quasi-experimental research design (study /control group) was used in the study. Setting: The study was conducted labor unit in Emergency Obstetric Hospital in Zagazig University Hospital ,Elaharar Hospital ,Elsharkia ,Egypt. Sample: A purposive sample of 200 laboring women. The total sample divided into two groups equally; study group (100) and control group (100). Tools for data collection: Data was gathered using three tools; Tool (I): Questionnaire for structured interviews: which is divided into two parts Part A: Demographic Characteristics, Part B: Obstetric history. Tool (II): REEDA scale was used to assess cesarean section wound healing. Tool (III) Pain assessment questionnaire for labouring women consists of two parts, Part A : Qualitative pain assessment using the behavioural rating scale, Part B: Quantitative pain assessment using the visual analogue scale. Results: The current study revealed a highly statistically significant improvement in laboring women’ wound healing and decreases the pain level in the study group. Conclusion: The current study concluded that, the applying of amniotic membrane in cesarean section wound improve the healing and decrease level of pain more than routine care, which supports the research hypothesis Recommendations: the present study findings high light on applying of amniotic membrane in management of cesarean section wound is recommended as effective intervention among laboring women