REDNESS, EDEMA, ECCHYMOSIS, DISCHARGE, AND APPROXIMATION SCALE EVALUATION OF WOUND HEALING FOLLOWING EPISIOTOMY AND CESAREAN INCISIONS

BEHİRE SANÇAR; SİBEL ERKAL ILHAN

doi:10.22159/ijms.2021.v9i4.41767

Authors

BEHİRE SANÇAR Department of Nursing, Faculty of Health Sciences, Bahçelievler Campus, Akdeniz, Mersin, Turkey.
SİBEL ERKAL ILHAN Department of Nursing, Faculty of Health Sciences, Sutluce Campus, Sutluce, Istanbul, Turkey. https://orcid.org/0000-0002-5792-0700

DOI:

https://doi.org/10.22159/ijms.2021.v9i4.41767

Keywords:

Cesarean incision, Episiotomy incision, Redness, edema, ecchymosis, discharge, and approximation scale, Wound assessment, Wound healing

Abstract

Objective: Performing the wound healing stages in episiotomy and cesarean incisions using standardized scales contributes to multidisciplinary communication by increasing consistency and openness. This study was conducted to evaluate wound healing in episiotomy and cesarean incisions using the redness, edema, ecchymosis, discharge, and approximation (REEDA) scale.

Methods: This descriptive and comparative study was conducted with a wound evaluation on 3 different days following incision. The study was conducted with the participation of a total of 107 women, 53 of whom had vaginal delivery with episiotomy and 54 who had a cesarean section, who were hospitalized in the gynecology and obstetrics clinic of a university hospital.

Results: It was observed that the REEDA scale total scores were higher in the vaginal delivery group with episiotomy on the 1st follow-up day of the study, and there was no difference between the groups on the 3rd and 7th follow-up days.

Conclusions: It was determined that the healing process in cesarean incision wounds developed later than in episiotomy incision wounds. It was concluded that metric measurements are important in the use of the REEDA scale.

Author Biography

SİBEL ERKAL ILHAN, Department of Nursing, Faculty of Health Sciences, Sutluce Campus, Sutluce, Istanbul, Turkey.

Prof. Dr. Haliç University Faculty of Health Sciences, Department of Nursing. Sutluce Campus, Sutluce ISTANBUL / TURKEY.

e-mail address: erkalsibel@yahoo.com

References

Shaw TJ, Martin P. Wound repair at a glance. J Cell Sci 2009;122:3209-13.

Gonzalez AC, Costa TF, Andrade ZA, Medrado AR. Wound healing a literature review. An Bras Dermatol 2016;91:614-20.

Gillespie BM, Chaboyer W, Kang E, Hewitt J, Nieuwenhoven P, Morley M. Postsurgery wound assessment and management practices: A chart audit. J Clin Nurs 2014;23:3250-61.

Aydın E, Bulut H. Nursing care in bariatric surgery. TAF Prev Med Bull 2014;13:77-82.

Acar K, Aygin D. Risk factors for wound developing, and interventions for prevention and care in elderly people. J Intens Care Nurs 2015;19:54-9.

Dreifke MB, Jayasurıya AA, Jayasurıya AC. Current wound healing procedures and potential care. Mater Sci Eng 2015;48:651-62.

Bates-Jensen BM, Woolfolk N. Acute surgical wound management. In: Sussman C, BatesJensen BM, editors. Wound Care: A Collaborative Practice Manual. 3rd ed. USA: Lippincott, Williams and Wilkins; 2007. p. 322-35.

Fırat-Kılıç H, Sucudağ G. The scales frequently used in the assessment of pressure sores. JAREN 2017;3:49-54.

Wynne M. Wound Assessment; 2018. Available from: http://www.hse. ie/eng/about/who/onmsd/practicedevelopment/woundmanagement. [Last accessed on 2020 May 21].

Zeigler M, Smiley J, Ehrlich-Jones L, Moore JL. Use of the pressure ulcer scale for healing (push) in ınpatient rehabilitation: A case example. Rehabil Nurs 2016;41:207-10.

Gupta A, Kumar P. Assessment of the histological state of the healing wound. Plast Aesthet Res 2015;2:239-42.

Aktaş A, Topaloğlu S, Çalık A, Arslan MK, Öncü M, Inci I, et al. Wound surveillance with ASEPSIS in colorectal surgery. J Natl Surg 2012;28:175-81.

Devendra BN, Seema KB, Kammappa KA. Episiotomy wound haematoma: Recognition, management and healing assessment by REEDA scale in postpartum period. J Dent Med Sci 2015;14:8-11.

Mohamed HA, Nagger NS. Effect of self perineal care ınstructions on episiotomy pain and wound healing of postpartum women. J Am Sci 2012;8:640-50.

Vardanjani SA, Shafai FS, Mohebi P, Deyhimi M, Delazar A, Ghojazadeh M, et al. Wound healing benefits of curcumin for perineal repair after episiotomy: Results of an ıranian randomized controlled trial. Life Sci J 2012;9:5536-41.

Mahishale A, Chougala A, Patted S. Effect of therapeutic ultrasound and maternal cooling gel pad for perineal pain following vaginal delivery with episiotomy. J Womens Health Care 2013;2:1000128.

Nethravathi V, Kshırsagar NS, Kakade SV. Effectiveness of ınfrared lamp therapy on healing of episiotomy wound among post natal mothers. Health Sci J 2015;9:1-5.

Marzouk T, Barakat R, Ragab A, Badria F, Badawy A. Lavender-thymol as a new topical aromatherapy preparation for episiotomy: A randomised clinical trial. J Obstet Gynaecol 2015;35:472-5.

Alvarenga MB, Francisco AA, Oliveira SM, Silva FM, Shimoda GT, Damiani LP. Episiotomy healing assessment: Redness, oedema, ecchymosis, discharge, approximation (REEDA) scale reliability. Latino-Am. Enfermagem 2015;23:162-8.

Shahrahmani H, Kariman N, Jannesarı S, Rafieian-Kopaei M, Mirzaei M, Shahrahmani N. The effect of camellia sinensis ointment on perineal wound healing in primiparous women. J Babol Univ Med Sci 2018;20:7-15.

El-Lassy RB, Mohamed-Madian AA. The effect of infrared lamp therapy on episiotomy wound restorative besides pain relief among post-partum women. J Nurs Educ Pract 2019;9:20-30.

Golezar S. Ananas comosus effect on perineal pain and wound healing after episiotomy: A randomized double-blind placebo-controlled clinical trial. Iran Red Crescent Med J 2016;18:e21019.

Dereli-Yılmaz S, Vural G, Bodur S. The effect of serum physiological and rivanol on the process of recovery during episiotomy care. J Trakya Univ Facult Med 2010;27:172-7.

Durmaz A, Buğdaycı R. Factors affecting the healing of episiotomy. Turk J Public Health 2013;11:72-85.

Toker Z, Eroğlu K. Impact of two different methods of perineal wound care on the process of episiotomy wound healing. J Hacettepe Univ Sch Nurs 2005;12:49-61.

Erbaba H, Pınar G. Current approaches to the prevention and management of postpartum perineal trauma. J Educ Res Nurs 2016;13:272-81.

Heidari T, Roozbahani N, Farahani LA, Attarha M, Torkestani NA, Jamilian M, et al. Does Iranian astragalus gossypinus honey assist in healing caesarean wounds and scars? Eur J Integr Med 2013;5:226-33.

Samadi S, Khadivzadeh T, Emami A, Moosavı NS, Tafaghodı M, Behnam HR. The effect of hypericum perforatum on the wound healing and scar of cesarean. J Altern Complement Med 2010;16:113-7.

Héroux M. Cohensd: How to interpret it? 2017. Available from: https:// www.scientifically sound.org/2017/07/27/cohens-d-how-interpretation. [Last accessed on 2020 May 23].

Kılıç S. Effect size. J Mood Disord 2014;4:44-6.

Bahadır A, Akca Ö, Bülbül İ, Kahveci R, Özkara A. Superwarfarin intoxication via skin exposure causing high INR levels and Vitamin K deficiency: A case report. Medeniyet Med J 2015;30:99-101.

Calderon ACS, Quintana SM, Marcolin AC, Berezowskı AT, Brito LG, Duarte G, et al. Obesity and pregnancy: A transversal study from a low-risk maternity. BMC Pregnancy Childbirth 2014;14:249.

Şekerci-Baran F, Avcı ME, Çakıroğlu AY, Çorakçı A. The effect of single-or double-layer closure of the uterine ıncision at cesarean section on uterine scar formation. J İKSST 2018;10:25-31.

Yıldız-Karaahmet A, Yazıcı S. The current stage of episiotomy. HSP 2017;4:57-63.

Davidson N. REEDA: Evaluating postpartum healing. J Nurse Midwifery 1974;19:6-9.

Hill PD. Psychometric properties of the reeda. J Midwifery Womens Health 1990;35:162-5.

Üstünsöz A. Effect of Hot and Cold Applications on Episiotomy Recovery. (Unpublished Master’s Thesis). Ankara: GATA Institute of Health Sciences; 1996.

Albayrak A, Kurt E. Relationship between Depression Levels Due to Pain and Loss of Limb (Mastectomy) and Quality of Life and Religiosity in Patients with Breast Cancer. Journal of Dokuz Eylul University Faculty of Theology Special Issue of Psychology of Religion; 2016. p. 41-81.

Koşucu M, Tuğcugil E, Ertürk E, Topbaş M, Eroğlu A, Ulusoy H, et al. The effects of the pre-emptive oral gabapentin on post-anesthesia recovery criteria, acute post-thoracotomy pain and development of chronicity in pain with benign thoracotomy operations. Turk Gogus Heart Vein 2014;22:389-96.

Summers S. Evidence-based practice part 2: Reliability and validity of selected acute pain instruments. J Perianesth Nurs 2001;16:35-40.

R Core Team R. A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing. 2019. Available from: https://www.r-project.org. [Last accessed on 2020 Feb 11].

Eghdampour F, Jahdie F, Kheyrkhah M, Taghizadeh M, Naghizadeh S, Hagani H. The impact of aloe vera and calendula on perineal healing after episiotomy in primiparous women: A randomized clinical trial. J Car Sci 2013;2:279-86.

Moudi Z, Edozahia M, Emamic SA, Asılıc J, Pourd MS. Effects of mastic oleoresin on wound healing and episiotomy pain: A mixed methods study. J Ethnopharmacol 2018;214:225-31.

Büyükyılmaz F, Aştı T. Nursing care of postoperative pain. J Ataturk Univ Sch Nurs 2009;2:84-93.

Karcıoğlu Ö. Management of pain and practice of analgesia in the emergency setting. Turk J Fam Pract 2010;14:53-63.

López-Lapeyrere C, Solıs-Muñoz M, Hernández-López AB, Rodriguez-Barrientos R, González-Rubıo R. Perineal repair of media-lateral episiotomies and 2nd degree tears by midwives: A randomised controlled trial comparing three suture techniques. Int J Nurs Stud 2020;106:103553.

Kettle C, Dowswell T, Ismail KM. Continuous and ınterrupted suturing techniques for repair of episiotomy or second-degree tears. Cochrane Database Syst Rev 2012;11:CD000947.