Interrupted Versus Continuous Suturing of Episiotomy : A Comparative Study

Abstract

Background: A great number of pregnant ladies worldwide experience suturing for perineal injury after labour and the kind of repair may affect healing and perineal pain. For over 80 years, most researchers have been proposing that technique of continuous suturing for repairing vagina, pelvic floor muscles and skin are related with less pain than that of interrupted techniques. This study aims to assess the effects of continuous versus interrupted suturing techniques for episiotomy repair following childbirth. Methods: The study included 150 pregnant women admitted for labour underwent a mediolateral episiotomy before vaginal delivery at Zagazig University Hospitals and AlAhrar teaching hospital. in the period from October 2017 to December 2018. Patients were at random assigned into two groups: group A and group B. Group A: were repaired by continuous suturing technique using polyglactin 910 (vicryl) sutures No 2/0. Including 75 patients. Group B: were repaired by interrupted suturing technique using polyglactin 910 (vicryl) sutures No 2/0. Including 75 patients. Results: The results exhibited that there was highly statistically significant difference between the two groups regarding time needed for repair, amount of suture material and Perineal pain at 6 & 12 hours measured by VAS scales lower at continuous group, and nonsignificant difference after that. There was non-significant difference between the two groups regarding Amount of blood loss, Perineal repair rate, need for analgesics, Post-natal stay, Wound infection, Healing defects, Dyschezia, Dyspareunia Cosmetic disfigurement and Patient satisfaction. Conclusion: Continuous suturing technique is recommended over interrupted suturing technique since it is associated with less perineal pain in first days of post-natal period, suture material amount used and less time needed to be performed.

Effect of Acupressure Applied To Bl23 Point versus Crushed Ice Application on Postpartum Perineal Pain Intensity

“…Considering the high rate of postpartum women who suffer from perineal pain and its negative effect on the quality of their lives, and the need for studies to test and support the effectiveness and safety of some non pharmacological techniques which could benefit a wide range of women suffering from postpartum perineal pain (Soliman et al, 2020). Therefore, this study was carried out to verify the effect of acupressure versus crushed ice application on postpartum perineal pain.…”

“…Postpartum perineal pain is a distressing complaint among mothers after vaginal delivery. About 85 percent of women experience some degree of perineal trauma after normal vaginal delivery, and more than 69 percent of them may need sutures (Soliman et al, 2020). During childbirth, perineal trauma can occur spontaneously as tears or lacerations and/or surgically, in the form of episiotomy (Jansson et al, 2020).…”

“…During childbirth, perineal trauma can occur spontaneously as tears or lacerations and/or surgically, in the form of episiotomy (Jansson et al, 2020). Short-or long-term maternal morbidity related to perineal repair might prompt physical, social or psychological issues, influencing the woman's ability to take care for her newborn and her family (Soliman et al, 2020). More than one fifth of postpartum women undergone vaginal delivery suffer from perineal pain for about ten days (Molakatalla et al, 2017).…”