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CTRI Number  CTRI/2026/02/103822 [Registered on: 13/02/2026] Trial Registered Prospectively
Last Modified On: 13/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) [external application over episiotomy wound]  
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   A clinical study to compare the wound healing effect of Yashtimadhu Ghrita pichu and Murivenna pichu over the stitch wound near vaginal opening made during normal delivery. 
Scientific Title of Study   A clinical study to compare the Episiotomy wound healing effect of Yashtimadhu Ghrita pichu and Murivenna pichu 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SONA C J 
Designation  PG SCHOLAR 
Affiliation  PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY 
Address  DEPARTMENT OF PRASUTITANTRA EVUM STREEROGA PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY SHORNUR THRISSUR

Thrissur
KERALA
679531
India 
Phone  9946674723  
Fax    
Email  sonacj24@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SITHARA SATHEESAN 
Designation  ASSOCIATE PROFESSOR 
Affiliation  PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY 
Address  DEPARTMENT OF PRASUTITANTRA EVUM STREEROGA PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY SHORNUR THRISSUR

Thrissur
KERALA
679531
India 
Phone  9496115109  
Fax    
Email  sitharasatheesan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SONA C J 
Designation  PG SCHOLAR 
Affiliation  PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY 
Address  DEPARTMENT OF PRASUTITANTRA EVUM STREEROGA PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY SHORNUR THRISSUR

Thrissur
KERALA
679531
India 
Phone  9946674723  
Fax    
Email  sonacj24@gmail.com  
 
Source of Monetary or Material Support  
PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY THRISSUR KERALA 679531 
 
Primary Sponsor  
Name  SONA C J 
Address  PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY THRISSUR KERALA 679531 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR SITHARA SATHEESAN  PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL  DEPARTMENT OF PRASUTITANTRA EVUM STREEROGA PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL CHERUTHURUTHY THRISSUR KERALA 679531
Thrissur
KERALA 
9496115109

sitharasatheesan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE PNNM AYURVEDA MEDICAL COLLEGE AND HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:O759||Complication of labor and delivery, unspecified. Ayurveda Condition: SADYOVRANAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-picu, पिचु (Procedure Reference: Susrutha suthrasthana Utharasthana, Chapter 37,Sloga 27, Procedure details: Pichu made of sterile cotton and gauze to cover the episiotomy wound will be prepared and soaked in Murivenna and administered to subjects once daily)
(1) Medicine Name: Murivenna, Reference: Pharmacopeia by Govt Ayurveda College, Thiruvananthapuram, Route: Topical, Dosage Form: Taila, Dose: 15(ml), Frequency: od, Duration: 7 Days
2Intervention ArmProcedure-picu, पिचु (Procedure Reference: Susrutha suthrasthana Utharasthana, Chapter 37,Sloga 27, Procedure details: Pichu made of sterile cotton and gauze to cover the episiotomy wound will be prepared and soaked in Yashtimadhu ghrita and administered to subjects once daily )
(1) Medicine Name: Yashtimadhu ghrita, Reference: Susrutha suthrasthana, Chapter 5, sloga 42, Route: Topical, Dosage Form: Ghrita, Dose: 15(ml), Frequency: od, Duration: 7 Days
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Age group of 20 to 40 years
Both primi and multigravida who underwent vaginal delivery with episiotomy wound
Willingness to participate in the study 
 
ExclusionCriteria 
Details  Women with Postpartum haemorrhage
Women who have puerperal sepsis
3rd degree and 4th degree perineal tear
Sexually transmitted diseases
Systemic diseases like Hypertension, blood coagulopathy
Gestational diabetes mellitus
Participants taking antibiotics during treatment 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Episiotomy wound healing(REEDA scale-Redness,Edema,Ecchymosis,Discharge and Approximation)
Pain reduction(VAS-Visual Analogue Scale)
 
Both assessment will be done on 5th day of vaginal delivery(pre assessment-before procedure), 8th day(intermediate assessment-before procedure), 12th day(post assessment) of vaginal delivery 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   24/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This is a comparative interventional clinical study to evaluate the episiotomy wound healing effect of Yashtimadhu ghrita pichu and Murivenna pichu. 38 women with episiotomy wound following vaginal delivery will be selected and divided in to 2 groups by simple random sampling using lottery method. Group A  will receive Yashtimadhu ghrita pichu and group B will receive Murivenna pichu. Pain will be assessed using VAS scale and wound healing using REEDA scale. Observations will be recorded at 5th, 8th and 12th day vaginal delivery. The study duration is 18 months 
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