:: Volume 12, Issue 4 (winter 2011) ::
J Shahrekord Univ Med Sci 2011, 12(4): 51-57 Back to browse issues page
Comparison of perineal repair techniques of continuous and standard interrupted suturing in normal vaginal delivery
Monireh Sereshti * , Iran Gholamalishahi , Metra Moghadas , Fatemeh Deris
Lecturer, Medical Plants Research Cernter & Midwifery Dept., Shahrekord Univ. of Med Sci. Shahrekord, , m_sereshti@yahoo.com
Abstract:   (19715 Views)
Background and aim: Post-delivery surgical repair of the perineal region is frequently associated with pain and discomfort. The surgical technique may play a role in the intensity of pain and the wound healing process. This study was conducted to compare the influence of applying standard continuous versus interrupted suturing on pain sensation and the frequency of wound infection following episiotomy. Methods: In a randomized double blind clinical trial, 148 healthy women with normal vaginal delivery and sustained episiotomy were studied in the Hajar hospital, Shahrekord. In one group, perineal muscles, fascia and skin tissues were repaired with continuous non-locking sutures. Standard interrupted locking suturing was applied for the next group. Pain feeling and wound infection were evaluated at 2 hours, 10th and 40th days of post-delivery by Visual Analog Scale and the signs of discoloration of skin, edema, purulent discharge, and wound dehiscence, respectively. Data were analyzed by t-student, X2 and Mann-Whitney tests. Results: Pain intensity, the amount of consumed suturing material and the allocated time were less in the cases with continuous suturing (P<0.001). The mean of pain intensity was 2.66±2.5 versus 3.84±2.56 and 0.53±1.63 versus 0.6±1.04 at 10th and 40th days after delivery in continuous and standard interrupted suturing groups, respectively (P<0.05). Signs of wound infection were observed only in 4 cases (12.5%), all of which belonged to the standard interrupted suturing group. There was a statistically significant inter-group difference in terms of the frequency of observed wound infection (P<0.05). Conclusions: The pain intensity and the chance of wound infection is less in continuous suturing of episiotomy wounds. It also is a safer and more cost-effective method as it lowers the bedding time of the mother and needs for surgical material.
Keywords: Continuous repair, Episiotomy, Standard repair, Perineal pain, Wound infection.
Full-Text [PDF 181 kb]   (6268 Downloads)    
Type of Study: Research |
Received: 2011/06/2

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Volume 12, Issue 4 (winter 2011) Back to browse issues page