“A Randomized Clinical Controlled Trial to Evaluate Post Episiotomy Analgesic Effect by Application of Nirgundi Taila and Yashtimadhu Taila”

Abstract

Background: Episiotomy is a surgically planned incision on the perineum and posterior vaginal wall during second stage of labour. The wound thus formed is associated with immense pain and discomfort and can affect maternal quality of life and mental health along with the mother and baby relationship. This wound can be compared to Chinna vrana (a type of Sadyovrana) wherein Taila is one among the Shashti upakrama of management. Nirgundi does Vatashamana with its ushna virya and ultimately it does vedananashana. Hence present study was conducted to evaluate analgesic effect of Nirgundi taila in post-episiotomy period.

Objectives: To evaluate analgesic effect of nirgundi taila in post-episiotomy period.

Methods: 40 primigravida or multigravida who underwent episiotomy during normal vaginal delivery, admitted at KLEU’s Ayurveda Hospital and Research centre, Shahapur, Belagavi were enrolled after informed consent and were randomly categorized into study group (Nirgundi Taila Application) and control group (Yashtimadhu Taila application). Pain was assessed in terms of Visual Analogue Scale (VAS) over a period of two-and-half hours at half hourly intervals. Collected data was analyzed using repeated measures ANOVA test and Tukey’s Post hoc test.

Results: Both the groups treated showed reduction in pain with the control group giving lasting effects. Statistical insignificant reduction in pain score was observed at 0, 30, 60 and 90 minute post application between the groups. However at 120 and 150 minutes post application, control group showed better result with t values 2.8(p<0.05).

Comparatively Yashtimadhu taila proved to decrease the quantum of pain more efficiently (67.56%).

Conclusion: Nirgundi taila showed analgesic property in post-episiotomy period. But in comparison Yashtimadhu taila acted more effectively.