Abstract
To compare the intensity of pain, the healing process and women's satisfaction with the repair of perineal trauma during vaginal delivery using surgical glue or suture. Cross-sectional study aligned with a clinical trial conducted at a maternity in Itapecerica da Serra, São Paulo. The sample consisted of women who were evaluated between 10 and 20 days after delivery. The outcomes were analyzed according to the distribution of women in the experimental group (EG: perineal repair with Glubran-2® surgical glue; n=55) and in the control group (CG: perineal repair with Vicryl® suture thread; n=55). 110 puerperal women were evaluated. There was no difference between EG and CG regarding sociodemographic and clinical-obstetric characteristics. The intensity of perineal pain, assessed by the visual numeric scale was lower among women in the EG compared to the CG (p<0.001). According to the REEDA scale, there was no significant difference in perineal healing (p=0.267) between EG and CG. The satisfaction of women with perineal repair, assessed using a five-point scale, was higher with the use of surgical glue (p=0.035). Surgical glue showed advantages in relation to perineal pain and greater satisfaction for women compared to the use of suture. The healing process was similar for both types of repair.
Highlights
Perineal trauma occurs frequently in vaginal delivery and is strongly related to short- or long-term morbidities
The sociodemographic characteristics and the nutritional status of women involved in the study showed no significant difference between the groups, indicating homogeneity in relation to the analyzed variables
Regarding the weight of the newborn, the average was 3,304.5 (SD=408.1) grams in the control group (CG) and 3,221.4 (SD=370.8) grams in the experimental group (EG)
Summary
Perineal trauma occurs frequently in vaginal delivery and is strongly related to short- or long-term morbidities. Complications that occur during the healing process of the perineum from the first hours after delivery and even months or years later are common, such as pain, edema, hyperemia, ecchymosis, vaginal bleeding, infection and dehiscence, in addition to other morbidities, such as dyspareunia, urinary (UI) and anal (AI) incontinence and decreased pelvic floor muscle strength (PFMS)(1-3). A publication of the Brazilian Ministry of Health shows that 71.6% of women are submitted to episiotomy during vaginal delivery[4]. The frequency of perineal trauma varies internationally, especially in relation to episiotomy. In Asian countries, such as China and Taiwan, its rate exceeds 82%, while in European countries, such as Sweden, Denmark and England, it occurs between 9.7% and 13%(6) of vaginal deliveries
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