Impact of Inverted Interrupted Skin Suturing Versus Continous Suturing in Episiotomy on Postpartum Pain in Primigravida

Mahmoud Alalfy,Yossra Lasheen,Amr Abbassy

doi:10.15744/2454-3284.4.205

Abstract

Impact of Inverted Interrupted Skin Suturing Versus Continous Suturing in Episiotomy on Postpartum Pain in Primigravida

Highlights

Episiotomy is an incision that is made in perineum at the end of part of second stage of delivery
This was a randomized prospective study that was made in Aljazeerah hospital and Alsalam international hospital and Alsafwa Hospital, Egypt in the period from January 2017 till March 2018. 160 pregnant ladies were recruited to share in this study, and were consented before sharing in the study, The Allocation and Randomization; a computer generated randomization table was used for allocation in each study arm implementing a closed envelope system opened by operating room nurse during the time of randomization
In the regular follow up of patients, they were asked about the pain after 48 hours and 10 days post-delivery. This was a randomized prospective study that was made in Aljazeerah hospital and Alsalam international hospital and Alsafwa Hospital, Egypt in the period from January 2017 till March 2018. 160 pregnant ladies were recruited to share in this study, and were consented before sharing in the study (Table 1, 2, 3 and 4), (Figure 1, 2, 3, 4, 5, 6 and 7)

Summary

Introduction

Episiotomy is an incision that is made in perineum at the end of part of second stage of delivery. Aim of the work: To detect the effect of continuous against interrupted technique of episiotomy closure on post-delivery pain. Conclusion: The interrupted way of closing episiotomy shows less postoperative pain. There are Long term sequels of episiotomy repair. The best method for repairing episiotomy is the method that isnot time consuming and lesser materials and causes lesser pain in the immediate and long term periods. The usual method that was applied for closing episiotomy was using three layer closure method [3]. There are various techniques to suture episiotomy, 2 well known methods of repair are used subcutaneous continuous and interrupted methods [4]. Most researchers believe that using continuous sutures to repair vagina and perineum has lesser pain than the way of closing it by interrupted sutures [5]. Vicryl RapideTM is a multifilament material and is completely resorbed within fourty two days and doesnot retain a tensile strength 14 days postpartum [6]

Methods

Results

Conclusion