A study to compare Nimba Karanja Ayurvedic ointment with conventional ointment for healing episiotomy wounds in women after vaginal childbirth.

INTERVENTION: Intervention1: Nimba Karanja Malahara: Nimba Karanja Malahara will be applied topically over the episiotomy wound after routine perineal cleaning. The ointment will be applied twice daily for 7 days. Participants will also receive standard postnatal care. Control Intervention1: Metronidazole 2 percent and Povidone Iodine 10 percent ointment.: Metronidazole 2 percent and Povidone Iodine 10 percent ointment will be applied topically over the episiotomy wound after routine perineal cleaning. The ointment will be applied twice daily for 7 days. Participants will also receive standard postnatal care. CONDITION: Health Condition 1: O701‐ Second degree perineal lacerationduring delivery PRIMARY OUTCOME: Episiotomy wound healing assesed using the REEDA score i.e. Redness, Edema, Ecchymosis, Discharge, Approximation.Timepoint: Baseline day 0, day 1, day 2, day 3, day 4, day 5 of postpartum. ; A follow‐up will be taken on day 7 of postpartum. ; ; SECONDARY OUTCOME: 1.Pain at the episiotomy wound assessed using the Visual Analog Scale VAS. ; 2.Signs of episiotomy wound infection. ; 3.Adverse events related to the study medications. ; Timepoint: 1.Day 0 Baseline, 1, 2, 3, 4, 5, and 7 day of postpartum. ; 2.Day 0 Baseline, 1, 2, 3, 4, 5, and 7 day of postpartum. ; 3.Throughout the 7‐day follow‐up period. INCLUSION CRITERIA: 1.Primi para or second para women with vaginal delivery 2.Mediolateral episiotomy done 3.Willingness to give written informed consent 4.Age between 19 to 35 years 5.No known allergy to herbal or conventional ointments use 6.Laboratory investigations Hemogram, BSL‐R, HIV, HBSAG, VDRL, Urine routine