Nonsuturing or Skin Adhesives versus Suturing of the Perineal Skin After Childbirth: A Systematic Review

Msc, RM Anna E. Seijmonsbergen-Schermers; MSc, Saloomeh Sahami; Lucas, Cees; Jonge, RM Ank de

doi:10.1111/birt.12166

Cited by 14 publications

(22 citation statements)

References 62 publications

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“…1 In an effort to reduce procedure-related morbidity and improve cosmesis, there have been various attempts to modify and improve the technique of episiotomy. 1,2 These range from the use of hyaluronidase injections to non-suturing of perineal skin. 3 However, data has been insufficient and a Cochrane review in 2000 described the need for prospective studies involving cosmetic results of perineal skin.…”

Section: Introductionmentioning

confidence: 99%

Comparison of dermabond adhesive glue with skin suture for repair of episiotomy

Chamariya¹,

Prasad²,

Chauhan³

2016

Int J Reprod Contracept Obstet Gynecol

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Section: Introductionmentioning

confidence: 99%

Comparison of dermabond adhesive glue with skin suture for repair of episiotomy

Chamariya¹,

Prasad²,

Chauhan³

2016

Int J Reprod Contracept Obstet Gynecol

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“…The current review showed that not suturing the skin caused less short-term and long-term pain compared with suturing the skin as well as an increased rate of skin separation. Skin adhesives caused less shortterm pain without a statistically significant increase of skin separation, as compared with the suturing group [14].…”

Section: Discussionmentioning

confidence: 82%

“…The reported complications of episiotomy closure were skin dehiscence, adhesive / suture detachment, perineal edema, severe pain, longer hospital stay, granuloma formation, local infection and dyspareunia. Many studies reported the similar complication rates of tissue adhesive [14] compared with suture methods. In our study, tissue adhesive group had 11%, while subcuticular group had 16% of complication rate.…”

Section: Discussionmentioning

confidence: 93%

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Comparison of the aesthetic and functional efficacy of subcuticular running closure (3/0 rapid absorbable 910 polyglactin) with N-BUTYL cyanoacrylate in episiotomy repair

Atesli,

Guven,

Senocak

et al. 2020

Clin. Exp. Obstet. Gynecol.

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The aim of this study was to compare the aesthetic and functional efficacies of n-butyl cyanoacrylate and 3/0 rapid absorbable polyglactin 910 sutures in cutaneous repair during episiotomy. This study involved 52 cases of patients who had spontaneous vaginal delivery and episiotomy. The cases were randomized among to the type of cutaneous repair during their episiotomy. The perineal skin was repaired by taping with n-butyl cyanoacrylate (group 1) or by suturing with subcuticular 3/0 rapid absorbable polyglactin 910 suture (group 2). These two groups of patients were compared in terms of duration of repair, postpartum pain, healing and cosmetic outcomes, and dyspareunia at 48 hours and 6 weeks postpartum. The incidence of episiotomy skin dehiscence was lower in group 2 than group 1 but it was not statistically significant (p > 0.05). The average visual analog score of group 1 was statistically significantly lower at 48 hours postpartum (1.40 ± 0.50 vs. 3.44 ± 0.93, p < 0.01) and at 6 weeks (1.12 ± 0.72 vs. 2.07 ± 0.82, p < 0.01) compared with that of group 2. Also, the count of paracetamol pills used in the first 48 hours was significantly lower in the tissue glue group (1.97 ± 0.93 vs. 2.67 ± 1.21, p < 0.05). Dyspareunia incidences in the first coitus following vaginal delivery showed no statistically significant differences between the two groups. Similarly, the mean Vancouver scar score showed no statistically significant differences between the two groups. The duration of operation was shorter for group 1 than for group 2 (0.81 ± 0.62 vs. 2.12 ± 0.33, p < 0.001). The efficacy of using n-butyl cyanoacrylate tissue adhesives versus 3/0 rapid absorbable polyglactin 910 sutures for cutaneous episiotomy repair was similar. However, taping with tissue adhesive has the advantages of fast application and a painless postpartum period.

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“…Preservation of perineal integrity, 2 nd degree laceration rate, and laceration suture were similar to those of national studies (8)(9)(10) . Moreover, most lacerations were not sutured, following a tendency to adopt natural healing, which seems to contribute to the reduction of pain (25) . However, more evidence is needed to support this practice (26) .…”

Section: Discussionmentioning

confidence: 99%

Obstetric practices in planned home births assisted in Brazil

Koettker¹,

Brüggemann

Freita

et al. 2018

Rev. esc. enferm. USP

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Objective: To describe obstetric practices in planned home births, assisted by qualified professionals in Brazil. Method: This is a descriptive study, with data collected in an online bank maintained by 49 professionals from December 2014 to November 2015, in which the target population was women and newborns assisted in home births. Data were analyzed through descriptive statistics. Results: A total of 667 women and 665 newborns were included. Most of the women gave birth at home (84.4%), in a nonlithotomic position (99.1%); none underwent episiotomy; 32.3% had intact perineum; and 37.8% had first-degree lacerations, some underwent amniotomy (5.4%), oxytocin administration (0.4%), and Kristeller’s maneuver (0.2%); 80.8% of the women with a previous cesarean section had home birth. The rate of transfer of parturients was 15.6%, of puerperal women was 1.9%, and of neonates 1.6%. The rate of cesarean section in the parturients that started labor at home was 9.0%. Conclusion: The obstetric practices taken are consistent with the scientific evidence; however, unnecessary interventions are still performed. The rates of cesarean sections and maternal and neonatal transfers are low. Home can be a place of birth option for women seeking a physiological delivery.

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Nonsuturing or Skin Adhesives versus Suturing of the Perineal Skin After Childbirth: A Systematic Review

Cited by 14 publications

References 62 publications

Comparison of dermabond adhesive glue with skin suture for repair of episiotomy

Comparison of dermabond adhesive glue with skin suture for repair of episiotomy

Comparison of the aesthetic and functional efficacy of subcuticular running closure (3/0 rapid absorbable 910 polyglactin) with N-BUTYL cyanoacrylate in episiotomy repair

Obstetric practices in planned home births assisted in Brazil

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