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Background: Episiotomy is the most common incision in midwifery that facilitates expulsion of the fetus, which like any other wound need to care. So we compare the effect of saline normal healing with Povidon Iodine on episiotomy in nulliparous. Methods& Methods: This is a randomized control clinical trial. 120 nulliparus women were enrolled of Taleghany Maternity House at Arak, Iran. They were randomly assinghed to receive either normal saline 10cc(case group) or Povidon Iodine (control group) TDS for irrigation the episiotomy. They were visited for wound healing with REEDA cheklist in 5th and 10th days of post parum.The data were analyzed with T test , χ2 and Mann-whittney U. Results: There was no significant difference between two groups in mean of redness, edema, infection at 5th and 10th, discharge, ecchymosis at 5th and approximation in 10th days of post partum. In 5th day mean of wound approximation was less in normal saline than Povidon Iodine group [0.73(±0.71), 0.47(±0.57)] (Pv<0.04) respectively. In 10th day in case group mean of ecchymosis and discharge [0.36(±0.52),0.36(±0.56)] was more than control group [0/16(±37),0.1(±0/36)] (Pv<0.02, 0.007) respectively. Conclusion: It seems normal saline can be replaced with povidon iodine solution in episiotomy care. This is safe, cost benefit, accessible and easy to use.

Keywords: episiotomy, wound healing, normal saline, povidon iodine solution

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