The Use of St. John's Wort Oil With Massage in the Perineum During Childbirth

The Effects of the Use of St. John's Wort Oil With Massage in the Perineum on Episiotomy, Perineal Damage and Wound Healing

Perineal trauma, whether spontaneous or episiotomy, is a condition that affects the quality of life in primiparous women . In women who have experienced perineal trauma, problems such as dyspareunia, urinary and fecal incontinence, and delayed attachment of mother and baby occur in their later lives. Episiotomy, which is applied to reduce perineal trauma, is not recommended today, but it is still widely used.Different techniques such as perineal massage, hot compress, and Ritgen maneuver are applied to reduce perineal trauma. Perineal Massage can be applied together with oil. There are studies in which massage is applied together with oils.St. John's Wort (St. John's Wort) is a plant used in traditional practice in Turkish medicine against ulcers in the gastrointestinal tract, diabetes, jaundice, hepatic and biliary diseases. Antitumoral , antimicrobial , antiviral activities have been demonstrated. St. John's Wort oil can be used orally for dyspeptic complaints, and there is also a way to apply it through the skin. When applied for this purpose, it benefits from its facilitating feature of wound healing. It is useful in wound healing, myalgia and minor bruises, burn pain .

The investigators'aim in this study is to investigate the effects of perineal massage with St. John's Wort oil on episiotomy, perineal damage and wound healing.

Study Overview

• Status: Recruiting
• Conditions: Perineal Injury
• Intervention / Treatment: Other: perineal massage with St. John's Wort oil

Detailed Description

The study is a Prospective Cross-sectional Case Control study. 60 pregnant women who were admitted to the Delivery Room Clinic of the hospital for delivery and were in active labor and had a 6 cm gap of 70-80% in the examination were included in the study. High-risk pregnant women, pregnant women planned for cesarean delivery, and pregnant women with additional disease were excluded from the study. First of all, a patient follow-up form, which includes the demographic information of the pregnant women, examination and perineal length, ultrasound information including the estimated fetal weight of the baby, will be filled. 30 case group pregnant women will receive their consent following a detailed explanation. Then, perineal massage will be applied to the pregnant women who have reached full disclosure, which will last for 10 minutes in the 1st stage of labor, accompanied by centaury oil, to stretch the perineal muscles with the help of fingers. Also, the pregnant women who have reached full patency will be given a perineal massage until the head descends on the delivery table. Another 10-minute centaury oil massage will be applied.

The control group will consist of 30 pregnant women who were applied perineal massage without using centaury oil as a requirement of midwifery care service.

The rates of 3rd and 4th degree perineal damage will be recorded from the groups that received St. John's Wort oil after delivery and those who did not. The current cut-out size and depth and its localization will also be recorded. At the same time, the patient will be evaluated for VAS for postpartum perineal pain.

In the follow-up one week after discharge, the scar thickness and pelvic muscle strength assessment of the existing episioes and eruptions will be recorded. The presence of urinary or fecal incontinence will be recorded by asking.

The data will be saved in the IBM-SPSS program. When comparing the two groups, normally distributed data will be analyzed using the independent simple t test, and data not normally distributed will be analyzed using the Mann-Whitney U-Test. P value less than 0.05 will be considered significant.

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Rahime Bedir Findik, Dr; Phone Number: +905053166532; Email: drbedir75@gmail.com
• Study Contact Backup: Name: Zuhal Yapıcı Coşkun, Dr; Phone Number: +905327070119; Email: zuhalyapici@yahoo.com

Study Locations

• Turkey
  • Çankaya
    • Ankara, Çankaya, Turkey, 06200
      • Recruiting
      • Rahime Bedir Findik
      • Contact: Rahime Bedir Findik; Email: drbedir75@gmail.com
      • Contact: Zuhal Yapici Coskun, Dr; Phone Number: +905327070119; Email: zuhalyapici@yahoo.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 40 years (Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• normal pregnant women
• active labor during the examination
• pregnant woman who is likely to have a vaginal delivery

Exclusion Criteria:

.Pregnant women with risky pregnancies

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group, whose perineum was massaged with St. John's Wort oil during labor; St. John's Wort oil will be applied to this group during perineal massage during labor.	Other: perineal massage with St. John's Wort oil; perineal massage with St. John's Wort oil during labor

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Presence of 3rd and 4th degree perineal damage	The presence of 3rd and 4th degree perineal tears will be recorded by examination immediately after birth.	5 minutes after birth
Visual Analogua Scale	The scale has 0-10 points.As The point increases the pain score increases	5 minutes after birth

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
perineal muscle strength	Evaluation of perineal muscle strength by examination: The scale has 0-3 points. It is scored between a minimum of 0 and a maximum of 3.As the point increases the perineal muscle strenght score increases. 0: no muscle strength; weak muscle strength; moderate muscle strength; strong muscle strength	postpartum at week 1
wound healing-wound color	Evaluation of wound color: The scale has 0-1 points.It is scored as 1 if the wound color is red and as zero (0) if it is not red.	postpartum at week 1
wound healing-wound inflamation	Evaluation of wound inflamation: The scale has 0-1 points. It is scored as 1 if the wound is inflamed due to infection, and as zero (0) if it is not.	postpartum at week 1
wound healing-wound heat	Evaluation of wound heat:The scale has 0-1 points.It is scored as 1 if there is an increase wound heat and zero (0) if there is none.	postpartum at week 1

Collaborators and Investigators

• Sponsor: Ankara City Hospital Bilkent
• Investigators: Principal Investigator: Rahime Bedir Findik, Dr, Ankara City Hospital Bilkent

Study record dates

Study Major Dates

• Study Start (Actual): May 15, 2023
• Primary Completion (Estimated): August 30, 2023
• Study Completion (Estimated): September 30, 2023

Study Registration Dates

• First Submitted: November 13, 2021
• First Submitted That Met QC Criteria: December 8, 2021
• First Posted (Actual): December 21, 2021

Study Record Updates

• Last Update Posted (Actual): July 27, 2023
• Last Update Submitted That Met QC Criteria: July 25, 2023
• Last Verified: July 1, 2023

More Information

Terms related to this study

• Keywords: perineal injury; episiotomy; perineal massage; St. John's Wort oil; Visual analogue scoring
• Other Study ID Numbers: AnkaraCHBilkent-MH-RBF-02

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No