Abstract
Background: Prevalence of the episiotomy varies around the world depending on whether it is used as a routine or a restricted procedure. The rates are still higher in developing countries, like ours, since the use of restricted episiotomy is not being practiced widely in primigravidas.
 Methods: In our randomized comparative study of 222 women who were admitted to the Department of Obstetrics and Gynaecology, SMS Medical College Jaipur, the enrolled women were divided into 2 groups. In Group-A: Vicrylrapide (polygalactin-910) suture material was used in 111 patients and in Group-B chromic catgut suture material was used in another 111 patients, for repair of episiotomies.
 Results: In our present study in vicryl rapide group at 24-48 hrs pain was present in 49.55% of patients, redness was found in 8.10% of patients, swelling was found in 3.60% patients and analgesic used by 72.97% of patients. In chromic group at 24-48 hrs pain was present in 69.36% of patients, redness was found in 21.62%, swelling was found in 7.20% and analgesic was used by 89.18% of patients.
 Conclusion: Our study recommends use of vicryl rapide for episiotomy repair in the care of parturient women.
 Keywords: Complication, Chromic Catgut, Vicryl Rapide, Episiotomy
Highlights
Prevalence of the episiotomy varies around the world depending on whether it is used as a routine or a restricted procedure
In our randomized comparative study of 222 women who were admitted to the Department of Obstetrics and Gynaecology, SMS Medical College Jaipur, the enrolled women were divided into 2 groups
In Group-A: Vicrylrapide suture material was used in 111 patients and in Group-B chromic catgut suture material was used in another 111 patients, for repair of episiotomies
Summary
Prevalence of the episiotomy varies around the world depending on whether it is used as a routine or a restricted procedure. Studies have shown synthetic suture materials like polyglactin to have less post-natal morbidity compared to catgut but with the risk of increased need for suture removal.5, 6This was addressed by irradiated polyglactin which gets absorbed rapidly than the standard polyglactin. The rates are still higher in developing countries, like ours, since the use of restricted episiotomy is not being practiced widely in primigravidas. Results: In our present study in vicryl rapide group at [24-48] hrs pain was present in 49.55% of patients, redness was found in 8.10% of patients, swelling was found in 3.60% patients and analgesic used by 72.97% of patients.
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