About this trial
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.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
normal pregnant women
active labor during the examination
pregnant woman who is likely to have a vaginal delivery
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
perineal massage with St. John's Wort oil
Other interventionperineal massage with St. John's Wort oil during labor
Treatment groups
Trial outcomes
Primary outcomes
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.
Visual Analogua Scale
The scale has 0-10 points.As The point increases the pain score increases
Secondary outcomes
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 1. weak muscle strength 2. moderate muscle strength 3. strong muscle strength
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.
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.
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.
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