Green Betel Leaf Gel ( Piper betle ) as an Alternative to Perineal Wound Healing in Postpartum Mothers

Perineal wounds are tears that occur when the baby is born either spontaneously or by using a tool or action. Administration of amoxicillin and mefenamic acid as pharmacological treatment is not enough for perineal wound healing. An alternative way to heal perineal wounds is using green betel leaf gel, which has the advantage of cold gel properties, so it can reduce pain. The gel has benefits as an anti-inflammatory, antioxidant, antiseptic, and antibacterial, so it can be used as a perineal wound treatment that can help accelerate perineal wound healing. This study aimed to prove the administration of green betel leaf gel ( Piper betle ) effect on perineal wound healing in postpartum mothers. This study is a quasy experiment with a pretest and posttest with a control group design. Through the technique of purposive sampling, it was found that 32 respondents were divided into two groups, the control group with clean, dry wound care and the intervention group, which was given green betel leaf gel twice a day for 7 days as measured using the REEDA score. Green betel leaf gel is effective for perineal wound healing on the 7th day compared to dry clean treatment.


Introduction
Perineal injuries in postpartum mothers are one of the common complications that occur after delivery.
The perineum is a part of the body that is prone to tears or injuries during normal delivery. Perineal injuries can range from mild to more serious, depending on a number of factors, such as the size of the baby, the technique of delivery, and the elasticity of the perineal tissue. Perineal injuries in postpartum mothers can cause pain, discomfort, and even more serious health problems if not handled properly.
Therefore, proper care is very important to ensure optimal recovery for the mother after childbirth. [1][2][3][4][5] One of the interesting alternatives getting attention in the treatment of perineal wounds is the use of green betel leaf gel (Piper betle). Green betel leaf, which has been used extensively in traditional medicine in various cultures around the world, has antimicrobial, anti-inflammatory, and healing properties that can support the perineal wound healing process.

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A B S T R A C T
Perineal wounds are tears that occur when the baby is born either spontaneously or by using a tool or action. Administration of amoxicillin and mefenamic acid as pharmacological treatment is not enough for perineal wound healing. An alternative way to heal perineal wounds is using green betel leaf gel, which has the advantage of cold gel properties, so it can reduce pain. The gel has benefits as an anti-inflammatory, antioxidant, antiseptic, and antibacterial, so it can be used as a perineal wound treatment that can help accelerate perineal wound healing. This study aimed to prove the administration of green betel leaf gel (Piper betle) effect on perineal wound healing in postpartum mothers. This study is a quasy experiment with a pretest and posttest with a control group design. Through the technique of purposive sampling, it was found that 32 respondents were divided into two groups, the control group with clean, dry wound care and the intervention group, which was given green betel leaf gel twice a day for 7 days as measured using the REEDA score. Green betel leaf gel is effective for perineal wound healing on the 7th day compared to dry clean treatment. process. This can speed recovery and help repair torn tissue. [11][12][13][14][15] This study aimed to prove the administration of green betel leaf gel (Piper betle) effect on perineal wound healing in postpartum mothers.

Methods
This study is an experimental study with a posttestonly approach with a control group design. A total of 32 research subjects participated in this study, where the research subjects were grouped into 2 groups, namely the treatment group and the control group.  Based on Table 2 it is known that the REEDA score on the pretest or the first day did not differ, with a significant value obtained p = 0.445, meaning that the initial REEDA score data described the condition of the wound to be in the same state between the control and intervention groups, in the first posttest or From the 3rd day to the 3rd posttest or the 7th day of observation it is known that there is a difference between the control group and the intervention group with the greatest decrease in the intervention group.

Results and Discussion
In addition to the intervention on day 5 or posttest II, the wound score was close to healing, namely 1.81, while in the control group it was 2.75. The average score on the 7th day of the control group was 1.13 so it could be interpreted that wound healing was still not good. The average score on the 7th day of the intervention group was 0.13, which means that most of the wounds of all respondents in the intervention group had good wound healing.

Conclusion
Giving betel leaf gel shows effectiveness in the process of healing perineal wounds in postpartum mothers.