Kukubhadi ointment application in Episioty wound

Phase 3

Not yet recruiting

Conditions: Noninflammatory disorders of female genital tract. Ayurveda Condition: YONIROGAH/YONI-VYAPADAH,

Registration Number: CTRI/2025/06/088540

Lead Sponsor: Dr Gholap Abhishek Ashok

Brief Summary: **Needfor the study**

*Prasutaa yonikshata*can be co-related with Episiotomy Wound which is *chinna vrana* a type of *sadhyovrana*.In classics it is mentioned that *Sadhyovrana*should be treated with *Kashaya*, *Madhura Rasa, Sheeta Virya*, *Snigdha Gunayukta Dravyas* for a period of1 week1 . *Prasutaa Yoni KshataChikitsa* has been explained by*AacharyaBhaavamishra* in *Bhaavaprakash2*and*AchrayaYogaratnakar3*.

Episiotomyis one of the most commonly performed procedures in obstetrics. It is asurgically planned incision on the perineum and the posterior vaginal wallduring the second stage of labour. It is performed to enlarge the vaginalintroitus so as to facilitate easy and safe delivery of the fetus spontaneouslyor manipulative and to minimize overstretching and rupture of the perinealmuscle and fascia to reduce the stress and strain on the fetal head4.

Indeveloped countries efforts have been made to restrict episiotomy practice.However in developing countries the episiotomy rates continue to be high5.

Therate of episiotomy was found to be 93.3% in primipara women and 30.2% inmultipara women6.

Asthe perineum is highly susceptible to infection due to different secretionslike vaginal discharges, faeces, and urine. Episiotomy wound requires a properintervention which could otherwise be self–limiting due to high vascularity ofthe perineal area. If not taken proper care of episiotomy wound may lead toimmediate complications like bleeding, infection, vulval hematoma and wounddehiscence remote complications like dyspareunia, scar endometriosis or chancesof perineal laceration in subsequent labour7.

Episiotomywound care should be started immediately after suturing the wound to reducepain and inflammation. The surgical wound of episiotomy can be considered as *Sadyo Vrana8.*

In *Bhavaprakash SamhitaVrana Shothadhikar Adhyaya* theyhave mentioned about *VranaRopana*drugs.As mentioned earlier these drugs also having property of Kashaya, Tikta*, Madhur Rasa*, *Sheeta Virya and Ruksha*,*LaghuGuna 9.*

Episiotomywound if left untreated, it may land up in *DushtaVrana*. To overcome this problem, I have selected this topic as theproperties of this *Kukubhadi Malahar*is *Vranaropak*,*Vrana Shodhana*,*Vedanasthapak*, *Shothaghna*, *Kledashoshak*, *Krumighna*etc. and the contents are easily available and also easy to prepare, effectiveand cost-effective to patient.

Hencethe present study undertaken to evaluate the efficacy *Kukubhadi Malahar*in themanagement of *Prasutaa Yoni Kshata (Sadyovrana).*Also effect of *Kukubhadi Malahar* willbe compared with Betadine ointment.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: Female

Target Recruitment: 40

Inclusion Criteria

The patients of age group between 20-35 years.
All primi and multi gravida.
Women who underwent normal vaginal delivery with episiotomy.

Exclusion Criteria

Systemic disorder like Diabetes Mellitus, Hypertension, Pulmonary tuberculosis, Impaired thyroid Functions.
Patients with serology positive for HIV, VDRL, HBsAg. Patients with perineal tear.
Patients having perineal abscess.
Patient with coagulopathies.
Hb having less than 8 gm%.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To evaluate the prophylactic antiseptic effect of kukubhadi malahar in the	6 months
management of prasutaa yonikshata	6 months

Secondary Outcome Measures

Name	Time	Method
To compare the prophylactic antiseptic effect of kukubhadi malahar and betadine ointment in the management of prasutaa yonikshata	6 months

Trial Locations

Locations (1): Shree jagadguru gavisiddheshwara ayurvedic medical college and hospital koppal
🇮🇳
Koppal, KARNATAKA, India
Shree jagadguru gavisiddheshwara ayurvedic medical college and hospital koppal
🇮🇳Koppal, KARNATAKA, India
Dr Gholap Abhishek Ashok
Principal investigator
7219183283
abhigholap211@gmail.com