J Herbmed Pharmacol. 2021;10(4): 401-407.
doi: 10.34172/jhp.2021.47
  Abstract View: 162
  PDF Download: 129

Original Article

The effect of Quercus infectoria pair cream on the severity of episiotomy pain in nulliparous women

Roza Soltanifard 1 ORCID logo, Fatemeh Nahidi 2* ORCID logo, Faraz Mojab 3 ORCID logo, Mehdi Birjandi 4 ORCID logo

1 Department of Midwifery and Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
2 PhD of Health Education, Associate Professor of Department of Midwifery & Reproductive Health, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
3 School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Department of Biostatistics and Epidemiology, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran


Introduction: Episiotomy is an incision in the perineal area during the second stage of labor to facilitate delivery. Complications of perineal injuries are one of the most important health issues. Oak pair has long been used experimentally to heal wounds and reduce pain. The present study was performed to investigate the effect of oak pair (Quercus infectoria) cream on pain due to episiotomy in nulliparous women. Methods: This double-blind clinical trial experimental study was performed on 120 nulliparous women in Asali hospital in 2018. Individuals were randomly divided into oak pair cream, placebo, and normal saline groups. Data were collected by demographic and midwifery information questionnaires and numerical pain scales. The creams were used by the participants every 12 hours for 10 days, and the pain intensity was evaluated before the intervention and on days 1, 5, and 10. Data analysis was performed by SPSS using chi-square, Kruskal-Wallis, and one-way analysis of variance (ANOVA) tests. Results: There was no statistically significant difference in pain intensity scores among the three groups of oak pair, placebo, and normal saline before the intervention (P = 0.20). Pain intensity on days 1, 5, and 10 after the intervention showed a significant difference between the three groups in favor of oak cream (P < 0.001). The results showed that there was a significant decrease in the mean pain intensity score of the oak pair receiving group over time (P < 0.001).Conclusion: Oak cream might be effective in reducing pain caused by episiotomy due to analgesic properties.
Keywords: Episiotomy, Nulliparous women, Quereus infectoria, Pain

Implication for health policy/practice/research/medical education:

Methanol extract of Quercus infectoria pair reduces episiotomy pain in nulliparous women activity and might be used as episiotomy pain therapy for prevention of nulliparous women mainly caused by drugs.

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Submitted: 20 Oct 2020
Revision: 26 Nov 2020
Accepted: 31 Dec 2020
ePublished: 29 Sep 2021
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