Effect of Immediate Nursing Intervention Regarding Applying Amniotic Membrane on Pain and Healing of Cesarean Wound

Document Type : Original Article

Authors

1 Assistant professor of Maternal and Newborn Health Nursing, Helwan University, Egypt

2 Assistant professor of, Maternity, Obstetrics and gynecological Nursing, Port said University, Egypt

3 Lecturer of Maternal and Newborn Health Nursing, Helwan University, Egypt

Abstract

Background: Cesarean section (CS) is one of the most frequently performed major abdominal
surgeries, the amniotic membrane is the inner layer of the placenta that surrounds the embryo and
forms a sac filled with amniotic fluid. Aim: This research aims to evaluate the effect of immediate
nursing intervention regarding applying amniotic membrane on pain and healing of cesarean wound.
Research Design: A quasi-experimental (study /control group) was used in the study. Setting: The
study was conducted at labor unit in Hawaa center, Manshia Naser, Cairo, Egypt. Sample: A
purposive sample of 60 laboring women. The total sample divided into two groups equally; study
group (30) and control group (30). Tools for data collection: Three tools were used to collect data;
Tool (I): Structured interviewing questionnaire: which is divided into two parts Part 1: Demographic
Characteristics, Part 2: Obstetric history. Tool (II): REEDA scale was used to assess cesarean section
wound healing. Tool (III): Laboring women pain assessment questionnaire include two parts:
Part1: Behavioral rating scale (qualitative pain assessment), Part2: Visual analogue scale
(quantitative pain assessment). Results: The current study revealed a highly statistically significant
improvement in laboring women’ wound healing and decreases the pain level in the study group.
Conclusion: The current study concluded that, the applying of amniotic membrane in cesarean
section wound improve the healing and decrease level of pain more than routine care, which supports
the research hypothesis Recommendations: the present study findings high light on applying of
amniotic membrane in management of cesarean section wound is recommended as effective
intervention among laboring women