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Background: Perineal pain following episiotomy affects mothers’ mental health and their quality of life. Using cooling gel pad is a new approach which is used for pain relief, but the pain related to episiotomy is still typically treated with oral analgesics. This study was conducted to investigate the effect of gel pad on post-episiotomy pain in primiparous women in Kamali Hospital of Karaj. Materials and Methods: This single-blind clinical trial was conducted on 60 primiparous women who referred for labor to Kamali Hospital of Karaj. The participants were randomly allocated to two groups: Those receiving gel pads (for 20 minutes four hours after labor and in case necessary, for up to 5 days) and the control (receiving the hospital routine). The two groups were evaluated in terms of episiotomy pain intensity through visual analogue scale (VAS) and analgesics usage. Results: The two groups did not show any significant differences in demographic features and other intervening variables. In terms of reduction in pain intensity, there were significant differences between the two groups 4 hours (p=0.002), 12 hours (p=0.009), and 5 days (p=0.000) after episiotomy. Analgesics usage, five days after delivery, in gel pad group was significantly lower than the control group (p<0.001) Conclusion: Using gel pad reduces the perineal pain intensity following episiotomy and decreases the need for using analgesics.

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Background: Episiotomy is one of the most common gynecologic surgery that was done in the second stage of labor, in order to facilitate the delivery. Cutting this area is associated with pain and discomfort. Healing causes pain relief and returning to daily activities became faster. Considering that the high rates of episiotomy infection, we decided to examine the effect of topical cream, saffron 20%, on women who had undergone episiotomy.

Materials and Methods: This randomized, double-blind clinical trial study was performed on 60 primiparous women in 2013-2014 who underwent vaginal delivery and episiotomy at in Taleghani Hospital of Arak. Intervention group recieved 20% topical cream containing saffron extract three times daily for 2 weeks and the control group received a placebo cream. Wound status and its healing were investigated in the first, seventh and fourteenth postpartum.

Results: There was a significant difference between both groups with healing of episiotomy location in seventh(p=0.54) and fourteenth(p=0.003) days and the continuity process of the wound edges in the first (p=0.015), seventh(p=0.013) and fourteenth(p=0.001) days. there was no statistically significant difference about the opening the wound in the first day(p=0.492), There was a statistically significant difference between the two groups in seventh(p=0.001) and fourteenth(p=0.026) days.

Conclusion: This study showed that saffron extract cream 20% can be effective for episiotomy wound healing and wound edges continuity.

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Introduction: The process of the first pregnancy causes a decrease in resilience and fear of pain, which requires interventions to solve these problems. This study aimed to determine the effectiveness of group therapy spirituality on endurance and pain control in primiparous pregnant women.
Methods: The research method was semi-experimental, pre-test, and post-test with a control group. The statistical population of this study included all pregnant women who gave birth in 2022 in the city of Kerman, 30 people (15 people in the experimental group and 15 people in the control group) were selected by the available sampling method. The data collection tools were the pain disability questionnaires of Mold and the resilience questionnaires of Connor and Davidson. A group spiritual therapy intervention was performed on the experimental group, and the control group did not receive any intervention. Data analysis was done with descriptive tests (mean and standard deviation) and covariance analysis. A P value less than 0.05 was considered significant.
Results: In the resilience variable, the mean and standard deviation of the experimental group in the pre-test was 41.27 ± 7.22 and the post-test 63.18 ± 8.69. In the pain control variable, the mean and standard deviation of the group in the pre-test was 35.73 ± 6.28, and the post-test was 21.40 ± 5.44. The results showed that group therapy spirituality had an effect on endurance and pain control in primiparous pregnant women (P < 0.01).
Conclusions: Based on the findings of the research, group therapy spirituality can be used to increase endurance and control pain in primiparous pregnant women.