title: The effect of honey gel on abdominal wound healing in cesarean section: a triple blind randomized clinical trial.
abstract: OBJECTIVE
  To assess whether honey can accelerate the wound healing in women undergoing cesarean section.
  
  
  METHODS
  This was a triple blinded randomized prospective clinical trial. Women with cesarean section were randomly designated as drug (37 cases) and placebo (38 cases) groups. The drug group received local honey gel 25% while the placebo group received similar free-honey gel on abdominal cesarean incision twice a day for 14 days. REEDA scale (Redness, Edema, Ecchymosis, Discharge and Approximation of wound edges) was used to assess wound healing.
  
  
  RESULTS
  The mean REEDA was 2.27 ± 2.46 and 3.91 ± 2.74 (p=0.008) on the 7(th) day and 0.47 ± 0.84 and 1.59± 1.95 (p=0.002) on the 14(th) day for the drug and placebo groups, respectively. Redness, edema and hematoma in the drug group were significantly lower on the 7(th) and 14(th) days.
  
  
  CONCLUSIONS
  Honey was effective in healing the cesarean section incision. Using topical honey is suggested as a natural product with rare side effects in order to reduce the complications of cesarean wounds.
authors.affiliation: MSc of Midwifery, Department of Midwifery, Babol University of Medical Sciences, Babol, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Nikpour
authors.affiliation: M.Sc. of Midwifery, Department of Midwifery, Mazandaran University of Medical Sciences Address: School of Nursing & Midwifery, Vesal st., Amir Mazandarani Boulevard, Sari, Iran.
authors.forename: Marjan Ahmad
authors.initials: MA
authors.lastname: Shirvani
authors.affiliation: PhD of Pharmacognosy, Department of Pharmacognosy, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Azadbakht
authors.affiliation: MD, Obstetrician and Gynecologist, Amol Hospital, Amol, Iran.
authors.forename: Roya
authors.initials: R
authors.lastname: Zanjani
authors.affiliation: BSc of Laboratory Sciences, Faculty of Nursing & Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
authors.forename: Ensieh
authors.initials: E
authors.lastname: Mousavi
keywords: Cesarean; Healing; Honey; Incision; Wound