MedPath

Simple Continuous, Subcuticular and Interrupted Skin Suturing of Episiotomy and 2nd-degree Perineal Tears

Not Applicable
Conditions
Episiotomy Wound
Interventions
Procedure: Episiotomy
Registration Number
NCT03611452
Lead Sponsor
Assiut University
Brief Summary

Millions of women worldwide undergo perineal suturing after childbirth and the type of repair may have an impact on pain and healing.

The skin as a barrier between the internal structures and the external environment is exceptionally susceptible to injury, either through accidental injury or planned surgical incision. Today, as surgery increases in complexity, and the heightened public awareness of scar cosmesis and skin healing need to be optimized to ensure the overall success of the surgical procedure

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
138
Inclusion Criteria
  • Normal vaginal delivery.
  • At term (37 40 weeks ).
  • Live baby.
  • Vertex presentation
Read More
Exclusion Criteria
  • Third and fourth degree perineal tear.
  • Instrumental vaginal delivery.
  • Previous perineal surgery.
  • Anaemia with hemoglobin level < 9 g/dl.
  • Diabetes mellitus.
  • Coagulation abnormalities.
  • Postpartum hemorrhage.
  • Delivery conducted outside Woman HealthHospital.
  • Breech delivery.
  • Body mass index >35 kg/m2.
  • Local infectious lesions.
  • Anal fissures or hemorrhoid.
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Simple continuousEpisiotomythe sutures will be taken continuously by simple method
interruptedEpisiotomythe sutures will be taken interrupted method
subcuticularEpisiotomythe sutures will be taken subcuticular
Primary Outcome Measures
NameTimeMethod
the mean score of Perineal pain during vaginal suturing10 minutes

assessment through visual analog scale score from 0 - 10 at every step of repair

Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath