Comparative Efficacy of Aloe Vera Gel versus Normal Saline in Accelerating Episiotomy Wound Healing: A Randomized Controlled Trial

Background: Episiotomy is a common obstetric procedure designed to aid vaginal delivery but often complicates postpartum recovery due to wound-related issues. Traditionally, these wounds are treated with normal saline. Recent studies suggest that aloe vera gel may enhance wound healing more effectively, yet comprehensive local data is lacking. Objective: To compare the efficacy of aloe vera gel with normal saline in promoting episiotomy wound healing by the 10th postoperative day. Methods: This randomized controlled trial included 60 gravid females undergoing normal vaginal delivery with episiotomy, randomly allocated into two groups: one treated with aloe vera gel and the other with normal saline. The primary outcome was wound healing, assessed on the 10th postpartum day using the REEDA score, categorized as complete (score <5), partial (score 5-9), or no healing (score 10-15). Written informed consent was obtained from all participants. Results: Participants had an average age of 27.6 ± 5.2 years. The mean REEDA score on the 10th day postpartum was significantly lower in the aloe vera gel group (1.97 ± 1.22) compared to the normal saline group (3.57 ± 2.05; p = 0.001). The frequency of complete wound healing was 100% in the aloe vera group versus 76.7% in the saline group (p = 0.011). Conclusion: Aloe vera gel significantly outperformed normal saline in healing episiotomy wounds by the 10th postoperative day, suggesting its advantageous use over traditional saline dressings in obstetric practice.