HEALTH EDUCATION TERHADAP PENGETAHUAN IBU HAMIL TENTANG TERAPI SITZ BATH DI WILAYAH KERJA PUSKESMAS BALONG KABUPATEN PONOROGO

Haemorrhoids are common in pregnant women in the second or third trimester of pregnancy. Increased intra-pressure due to fetal growth and changes in the hormone progesterone causes the hemorrhoidal veins to become wide. Pregnancy hemorrhoids are temporary hemorrhoids which means they will disappear some time after delivery, but can cause a very uncomfortable feeling, itching around the anus and even bleeding during bowel movements. Therefore, self care is needed, one of them is the sitz bath method. The design in this study is a pre-experiment with the One Group Pretest-Posttest design approach. The population in this study were all mothers with hemorrhoids who participated in the pregnant class at Balong Health Center for the period of 1-28 February 2020, a total of 37 people. The sampling method used accidental sampling of 31 people. Instrument with quesioner Statistical test using the Wilcoxon Signed-Rank Test through the SPSS program with α = 0.05. The result of knowledge of mothers about Sitz Bath Therapy in the Work Area of ​​Puskesmas Balong, Ponorogo Regency, before health education was carried out, most of them were 16 respondents (51.6%) had sufficient knowledge and after health education was carried out most of them 18 respondents (58.1%) had good knowledge. There is an effect of health education on maternal knowledge about Sitz Bath Therapy in the working area of ​​ Health Center Balong, Ponorogo with a p value of 0.000 ≤ α 0.05. The role of health workers as educators is better to carry out routine health education during the provision of care, especially regarding the method of sitz bath therapy so that targets can better understand and be able to overcome hemorrhoid problems that occur in pregnancy.

A Study to Evaluate the Effectiveness of Sitz Bath on Episiotomy Wound Healing among Postnatal Mothers in Aravindan Hospital at Coimbatore

Statement of the problem: ‘A study to evaluate the effectiveness of sitz bath on episiotomy wound healing among postnatal mothers in Aravindan hospital at Coimbatore. Objectives of the study: 1. To assess the episiotomy wound healing among postnatal mothers both in experimental and control group. 2. To administer Sitz Bath Application to mothers in Experimental Group. 3. To evaluate the effectiveness of sitz bath on episiotomy wound healing among postnatal mothers in experimental group. 4. To compare the effectiveness of sitz bath on episiotomy wound healing among postnatal mothers between experimental and control group. 5. To find out the association between the post observational episiotomy wound healing scores of postnatal with selected demographic variable. Methodology: The quantitative approach - quasi-experimental, non- equivalent control group pre-test. Post-test design was selected to evaluate the effectiveness of sitzbath on Episiotomy wound healing among postnatal mothers The researcher adopted non probability convenient sampling technique and 60 postnatal mothers were selected for the study from Aravindan hospital Coimbatore. They are divided into two groups, 30 in experimental group and 30 in control group. The investigator used Reeda Scale and visual Analog pain scale to assess the episiotomy wound healing. Results: The findings reveal that application of sitz bath is highly effective on severe redness (63.3%), severe oedema (876%), severe ecchymosis (83.3%), severe discharge (93.3%) and poor approximation of wound (90%). Posttest on 5th day revealed that they had moderate redness (30%), moderate oedema (34.3%), mild ecchymosis (27.6%), moderate discharge (38.6%) and improved approximation of wound (27.6%). For all parameters of REEDA calculated t-value >p-value, which infers that application of sitz bath is statistically highly effective for healing of episiotomy at 0.05 level of significance. The calculated t-value is 22 > 2.05, which infers that application of sitz bath is statistically highly effective for healing of episiotomy wound at 0.05 level of significance. The application of sitz bath is highly effective in experimental group based on REEDA parameters as per redness (45%) in experimental group when compared to control group redness (90%), discharge (38.6) in experimental group when compared to control group discharge (53.3%), edema (34%) in experimental group when compared to control group odema. 6%), ecchymoseis 7.6%) in experimental group when compared to control group ecchymosis (53.3%) and on approximation of wound (27.6%) when compared to control group approximation of wound(47.6%). Hence H2 is accepted. Conclusion: This information shows that Application of Sitz Bath is effective in episiotomy wound healing process

EFEKTIFITAS TEKNIK SITZ BATH UNTUK MENGURANGI NYERI RUPTURE PERINEUM PADA IBU NIFAS DI PRAKTIK MANDIRI BIDAN DINCE SYAFRINA, SST TAHUN 2019

Setiap ibu yang menjalani proses persalinan dengan mendapatkan rupture perineum akan merasakan nyeri. Upaya pencegahan dan mengatasi nyeri ini bisa dengan pemanfaatan teknik sitz bath Tujuan penelitian ini untuk mengetahui efektifitas teknik sitz bath untuk mengurangi nyeri rupture perineum pada ibu nifas di Praktik Mandiri Bidan Dince Syafrina, SST. Jenis penelitian ini menggunakan metode Quasi experimental dengan teknik pengambilan sampel atau sampling yaitu Purposive sampling. Populasi dalam penelitian ini adalah ibu Nifas dengan luka perineum di Praktik Mandiri Bidan Dince Syafrina, SST Pekanbaru sebanyak 35 orang. Analisa data pada penelitian ini adalah analisa univariat dan bivariate. Hasil penelitian menunjukkan mayoritas responden sebelum diberikan terapi pengurang nyeri luka perineum dengan tekhnik sitz bath mengalami intensitas nyeri 7 yakni berjumlah 13 orang ( 37,1 %). Dan sesudah diberikan terapi pengurang nyeri luka perineum dengan tekhnik sitz bath, mengalami intensitas nyeri 6 yakni berjumlah 12 orang ( 34.3 %). kesimpulan penelitian ini adalah didapatkan bahwa rata-rata intensitas nyeri luka perineum pada ibu nifas pada pengukuran pertama adalah 6,43 (nyeri sedang), sedangkan rata-rata intensitas nyeri pada pengukuran kedua adalah 4,69 (nyeri sedang), maka disimpulkan ada pengaruh pemberian terapi dengan tekhnik sitz bath terhadap nyeri luka perineum pada ibu nifas. Saran penelitian ini diharapkan kepada tenaga kesehatan dapat mengatasi nyeri luka perineum yaitu bukan hanya memberikan terapi farmakologis namun dapat mengkombinasikan dengan pemberian terapi pengurang nyeri dengan tekhnik sitz bath dalam mengatasi nyeri luka perineum.

How A Cold Sitz Bath Versus Infrared Therapy Can Remove the Pain of Postpartum Perineal Wounds

<p>Women who suffer perineal trauma in spontaneous labor experience pain and edema as the most common problems on the first day after delivery. Impaired mobility and a limited ability to carry out daily activities will affect the mother-baby bond. The study of the cold sitz bath intervention and infrared treatment aims to find out how these interventions can overcome the pain of perineal wounds in postpartum mothers. A quasi-experimental design was used to assess both interventions for treating pain in perineal trauma at the Madina Clinic and Sundari Hospital. The sample consisted of 40 mothers, 20 in the cold sitz bath (intervention group) and 20 in the infrared therapy (control group). Pain was measured using a numerical scale from day one to day three of the postpartum period and then the data were analyzed using the paired t-test statistical test. The results of this study revealed that the cold sitz bath hydrotherapy had a significant effect in reducing pain (p = 0.004), as well as infrared therapy (0.008). Although on the third day of the postpartum period, infrared therapy did not significantly reduce the pain level; several other factors could contribute to the significant differences in pain intensity reduction such as comfort, convenience, and the economic value of the intervention.</p><p align="center"> </p>

A REVIEW ARTICLE ON SHATAPONAKA BHAGANDARA

Bhagandara disease has been explained in detail by Sushruta highlighting it as one among the Ashtama- hagada and out of five types of Bhagandara, Sambukavarta considered as Asadhya, remaining four are Kruchrasadhya. Bhagandara is a track lined by unhealthy granulation tissue, pus discharge and can be corre- lated with Fistula-in-Ano. Shataponaka (Vataja) Bhagandara which is having Nidana, Samprapthi, Pur- varupa, Rupa. Acharya Sushruta explained Shastra Karma with 4 unique incisions to avoid complication. The same procedure can be correlated to fistulotomy and fistulectomy which is told in Fistula-in-ano. Even though Ksharasutra popularly used in Bhagandara, Shastrakarma plays main role in Shataponaka Bhagandara. Conditions are like fistula-in-ano with multiple opening, Tubercular fistula-in-ano, Hidradenitis suppuritiva, Crohn’s disease with fistula-in-ano, Uncontrolled diabetic patient with multiple fistula-in-ano, Perianal acti- nomycosis can be included under Shataponaka Bhagandara. In order to avoid multiple incisions and to en- hance quick healing these incisions can be used in multiple track. Keywords: Shataponaka bhagandara, Tuberculosis fistula-in-ano, Hidradenitis suppuritiva, Sitz bath, Incisions.

A contemporary treatment approach for fissure in ano: A case report of 38 year old patient

Anal Fissure is one of the major causes for pain at anal region. We are presenting case report of 38 year old male patient came to Shalyatantra OPD with chief complains of pain during and after defecation, bleeding per rectum, itching since 30 days. Intervention-In this case report patient is treated by using chakramarda ghrita for the management of acute fissure in ano chakramarda ghrita was used for local application along with sitz bath. The effectiveness of Charamarda was assessed by pain bleeding itching and healing. The patient has found effective relief from pain, bleeding, itching at perianal region using chakramarda ghrita which has anti-inflammatory activity, antibacterial, antifungal scavenging activity, antiulcer, anti-proliferative activity, antioxidant activity. The outcome of this management is that Chakramarda is effective in the management of Fissure in ano. Patients who take all follow-up after treatment will have less chance of symptom reoccurrence.

Role of Kshara Sootra in complicated cases of Arsha (interno-externo haemorrhoids) -A case series

Kasharasutra is being practiced in Indian system of medicine since ancient time in various ano-rectal disorders. In this case series, 2 patients of arsha (internal external haemorrhoids) underwent ksharasutra trans fixation at 3,7,11 o’ clock under spinal anaesthesia. Ksharasutra prepared as per the ayurvedic pharmacopeia of India (API). Ligated pile mass sloughed out on 5th post-operative day. Wound healed within 30 days. Panchavalkal kwatha for sitz bath, jatyadi taila for local application, gud haritaki were used as adjuvant drugs. Follow up after 4 weeks, no recurrence was observed, sphincter tone was normal and there was no evidence of anal stricture after complete wound healing.

New data on the treatment of female diseases ichthyol

The author reports, first of all, about two brilliant cases of successful use of ichthyolom when suffering from appendages. In one case (patient 30 years old) there was a chronic, right-sided parametritis of a moderate degree, very hard, partly performing the posterior Douglas the remainder of the posterior perimetric effusion and metritis colli. After long-term sucking treatment (tampons with a solution of iodistago calium in glycerin, lubrication of the iodom, sitz bath) had a very negligible effect, treatment with ichthyol was carried out. After 3 months, the exudate of the posterior fornix was completely absorbed, the right lig. latum became free, the cervix decreased in size. Remains of perimetric effusion disappeared after a course of baths in Kreuznach, and dysmenorrhoid phenomena were eliminated from the part of the uterine cervix. At the present time, the patient after 10 years of infertility is on the 2nd month of pregnancy.

Pain control and early wound healing effect using sitz bath with ozonised water after haemorrhoidectomy

Objective: Studies have shown that ozone in an aqueous state on a scar, because of its antibacterial effect, aids wound-healing. This study aimed to compare the pain control effect, based on the time to wound healing, of using a sitz bath with ozonised water with that of using a sitz bath with ordinary tap water in patients who have had a haemorrhoidectomy. Method: Patients were divided into two equal-sized groups: Group O used a sitz bath with ozonised water after haemorrhoidectomy and patients in Group T used a sitz bath with ordinary tap water. Different concentrations (1ppm, 2ppm and 4ppm) of ozonized water were tested to determine their bactericidal activities. Pain levels were measured using the Visual Analogue Scale (ranging from 0–10 where 0 is ‘no pain’ and 10 is ‘unbearable pain’), on days two, three and seven. Cohort analysis was retrospectively performed on the prospectively randomised collected data for this study. Results: A total of 80 patients participated in the study. No case showed any signs of bacterial growth. On postoperative day seven, patients in Group O showed a significantly lower pain level than those in Group T (1.35±0.48 versus 2.40±0.9; p<0.001). The time needed for anus scars to be completely healed was significantly shorter for Group O than that for Group T (2.75±0.63 weeks versus 3.85±0.80 weeks; p<0.001). Conclusion: The results of this study showed that using a sitz bath with ozonised water reduced pain and accelerated healing in patients who have had a haemorrhoidectomy.