The Effectiveness of Green Betel Leaf (Piper betle Linn) on Perineal Wound Healing: A Literature Review Study

Abstract

The perineal injury during delivery can increase the risk of infection in postpartum mothers. This paper reviews the effectiveness of green betel leaf (Piper betle Linn) on perineal wound healing. It was a literature review study. The first literature review stage was to determine the problem using PICO questions. Then, search and collect data/literature with the following steps: write keywords in the journal database and choose articles according to the specified criteria. The databases were Google Scholar, Science Direct, and Technology Index (SINTA), and PMC. The population was national journals examing the effectiveness of betel leaf on perineal wound healing. In addition, inclusion criteria were national journals researching the effectiveness of betel leaf on perineal wound healing and published from 2015 to 2020. Meanwhile, the exclusion criteria were journals with no full text. The journal searching was carried out from 1 to 20 August 2020. Data analysis used the following methods: critical appraisal, skimming, scanning, separating irrelevant articles from relevant articles, reading relevant articles, and making notes or summaries. Then we arranged publications in the table and analyzed them. There were seven relevant journals from Google Scholar. The findings showed that betel leaf was effective for perineal wound healing. The betel leaf contains an antiseptic five times stronger than ordinary phenol. It also contains saponins that trigger collagen formation for wound healing. Future researchers should examine the degree of the perineal wound and explain the processing of betel leaf in detail.