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

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.