A Randomized Controlled Trial to Evaluate the Mostafa Maged Four-stitch Technique in Comparison With the Regular Method in Closure of the Episiotomy During Vaginal Delivery
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 主要终点
- No infection at the episiotomy
研究概览
简要总结
Most primigravida is confronted with episiotomy during childbirth to prevent the perineal and vaginal lacerations which could be performed at birth. There are many types of episiotomy which are median, mediolateral, and J-shaped episiotomy.
Prevention of the formation of the dead space during the repair of episiotomy so avoiding hematoma formation in the episiotomy area after child-birth.
The Mostafa Maged four-stitch technique uses absorbable vicryl threads with round needles 75 mm.
详细描述
Methodology: This technique will be applied to all women with episiotomy at the time of delivery or having tears in the perineum or the vagina. The technique uses absorbable vicryl threads with round needles 75 mm long. The technique includes the vaginal epithelium and the deep muscle layer together continuously at the same sutures. Assessment of the perineal area in the next twenty-four hours till discharge looking for (edema - hematoma - septic wound - continence - ecchymosis - dyspareunia).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Primigravida patients having episiotomies or tears in the vagina
- •Age between 18 to 40 years old
排除标准
- •Morbidly obese patients
- •Chronic diseases such as renal diseases
结局指标
主要结局
No infection at the episiotomy
时间窗: 4 weeks after delivery
Redness,hotness and bad odour of vaginal discharge
No edema at the site of episiotomy
时间窗: 4 weeks after delivery
Swelling or ecchymosis and edema at the edges of episiotomy
Heamostasis of the episiotomy
时间窗: 4 weeks after delivery
Bleeding from the epistiomy or heamatoma at the epistomy
次要结局
- Sexual dysfunction (pain during sexual intercourse)(4 weeks after delivery)
- Anorectal dysfunction(4 weeks after delivery)
研究者
rehab abdelhamid aboshama
lecturer of obstetrics and gynecology Faculty of medicine
Fayoum University