The Impact of Different Skin Suture Methods in Episiotomy Repair on Healing and Pain

Başakşehir Çam & Sakura City Hospital132 enrolled

Overview

Episiotomy is the intentional incision of the perineum during vaginal birth in order to accelerate the active phase of labor. This study aimed to compare various skin closure techniques in episiotomy repair.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

132

Conditions

Labor; Prolonged, Second Stage Episiotomy Wound

Interventions

Mattress SuturingPROCEDURE

Horizontal mattress suture in interrupted fashion

Primary SuturingPROCEDURE

Horizontal primary suture in interrupted fashion

Continuous Subcutaneous SuturingPROCEDURE

Subcutaneous suture in continuous fashion

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 45 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Primiparous * Age between 18 to 45 * Given birth in our labor ward Exclusion Criteria: * Multiparous * having deep vaginal lacerations * having abnormalities in fetus * Rheumatologic diseases * Postpartum bleeding * Shoulder Dystocia * Operative Delivery * Using antithrombotic or anticoagulant medications

Locations (1)

Cam and Sakura City Hospital

Istanbul, Basaksehir, Turkey (Türkiye)

Outcomes

Primary Outcomes

Healing by Redness, Edema, Ecchymosis and Discharge (REEDA) Score

Healing is assessed by Redness, Edema, Ecchymosis and Discharge (REEDA) Score REEDA Scale: Healed: 0; moderately healed: 1 to 5; mildly healed: 6 to 10; and not healed: 11 to 15

Time frame: in postpartum day 15

Pain by Visual Analog Scale (VAS)

Pain is assessed from 0 (none) to 10 (extreme) by Visual Analog Scale (VAS)

Time frame: in postpartum day 15

Data from ClinicalTrials.gov

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