COMBINATION OF COLD COMPRESS THERAPY AND CINNAMON DECOCTION FOR REDUCING PERINEAL WOUND PAIN IN POSTPARTUM MOTHERS

Fitri Nurhayati; Nanik Cahyati; Bunga Puspita

Fitri Nurhayati Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia
Nanik Cahyati Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia
Bunga Puspita Universitas Jenderal Achmad Yani, Cimahi, West Java, Indonesia

Abstract

Birth canal tears are common among postpartum mothers and frequently result in perineal pain. This pain is primarily caused by tissue damage and subsequent suturing during childbirth. In Indonesia, approximately 75% of women who deliver vaginally experience perineal wound pain, which may lead to discomfort and dyspareunia. Non-pharmacological methods such as cold compress therapy and cinnamon decoction have been identified as potential interventions to reduce perineal pain. This study aimed to determine the effect of combining cold gel compress therapy and cinnamon decoction on reducing perineal wound pain over an eight-hour period at TPMB Pelly, West Bandung Regency, in 2024. A pre-experimental design using a one-group pretest–posttest approach was employed. The sample consisted of 16 postpartum mothers selected through consecutive sampling. Primary data were collected using the Numerical Rating Scale (NRS 0–10) to assess pain intensity. Data analysis included univariate and bivariate testing using the paired sample t-test. Before the intervention, the majority of participants experienced severe pain, with 19 respondents (65.6%). After receiving the combination therapy, most participants reported moderate pain, with 17 respondents (58.6%). Statistical analysis revealed a significant effect of the combined cold gel compress and cinnamon decoction therapy on reducing perineal wound pain over the eight-hour intervention period, with a p-value of 0.000 (p < 0.005). Based on these findings, it is recommended that midwives incorporate the combined use of cold gel compresses and cinnamon decoction as an effective non-pharmacological technique to help reduce perineal wound pain in postpartum mothers.

Keywords : cold gel compress, cinnamon, perineal wound pain

DOI: 10.35990/mk.v9-ISGH.p116-126

References

1. Anggraini Y. Asuhan kebidanan masa nifas. 2nd ed. Yogyakarta: Pustaka Rihama; 2017.
2. Juraida RH. Asuhan kebidanan ibu nifas dan deteksi dini komplikasi. Jakarta: EGC; 2018.
3. Wiknjosastro H. Ilmu kebidanan. Jakarta: Yayasan Bina Pustaka; 2017.
4. Khatimah H, Saleh SNH. Faktor-faktor yang mempengaruhi penyembuhan luka perineum pada ibu nifas. Promotif J Kesehat Masyarakat. 2022;12(1):95–101. DOI: https://doi.org/10.31934/promotif.v12i1.2368. Accessed 2024.
5. World Health Organization. WHO recommendations on maternal and newborn care for a positive postnatal experience. Geneva: WHO; 2022.
6. Sandy AP, Widaningsih N, Sriyanti C. Pengaruh terapi kompres dingin terhadap nyeri luka perineum pada ibu nifas. Jurnal Ilmu Kebidanan dan Kesehatan. 2023;16(1). DOI: https://doi.org/10.52299/jks.v16i01.290. Accessed 2024.
7. Puspita B, Nurhayati F, Cahyati N. Pengaruh kombinasi terapi gel dingin dan rebusan kayu manis terhadap penurunan nyeri luka perineum. Journal Health Society. 2024;14(2). DOI: https://doi.org/10.62094/jhs.v14i2.255. Accessed 2024.
8. Bahiyatun. Buku ajar asuhan kebidanan nifas normal. Jakarta: EGC; 2016.
9. Arikunto S. Prosedur penelitian: suatu pendekatan praktik. Jakarta: Rineka Cipta; 2016.
10. Dahlan MS. Statistik untuk kedokteran dan kesehatan. Jakarta: Salemba Medika; 2016.
11. Saifuddin AB. Buku panduan praktis pelayanan kesehatan maternal dan neonatal. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2016.
12. Desti A, Yanuarti T. Factors affecting perineal wound healing in postpartum women. Jurnal Keperawatan Komprehensif. 2022;9(Special Issue):45-52. DOI: https://doi.org/10.33755/jkk.v9iSpecial%20Edition.591. Accessed 2024.
13. Rachmawati A, Sari DJE, Yunita N. Personal hygiene and early mobilization with perineum wound healing. Jurnal Kebidanan. 2019;9(2):121-126. DOI: https://doi.org/10.31983/jkb.v9i2.4366. Accessed 2024.
14. Setianingsih LZ, Octavia R. Pengaruh kompres dingin terhadap tingkat nyeri luka perineum pada ibu nifas. Jurnal Ilmiah Kesehatan Delima. 2023;5(1):10-16. DOI: https://doi.org/10.60010/jikd.v5i1.71. Accessed 2024.
15. Astutik RY, Santiana MRP, Siwi RPY, Nursanti DP. Kegel exercises for perineal wound healing in postpartum mothers. Journal for Quality in Women’s Health. 2023;7(2). DOI: https://doi.org/10.30994/jqwh.v7i2.259. Accessed 2024.
16. Maritalia D. Asuhan kebidanan pada ibu nifas. Yogyakarta: Gosyen Publishing; 2017.
17. Kuswanti I. Asuhan kebidanan. Yogyakarta: Pustaka Pelajar; 2019.