Episiotomy Pregnancy and Childbirth Perineal laceration during delivery
Conditions
Interventions
In both arms the episiotomy was sutured as follows:
The vaginal wall was sutured continuously using Vicryl rapide 2-0 from the apex to the hymen. The bulbocavernosus and superficial perineal muscles
Sponsors
Ikazia Hospital, Department of Obstetrics and Gynaecology
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Episiotomy 2. Primiparous 3. Informed consent 4. Suturing occurs on the delivery room 5. Age>18 years
Exclusion criteria
Exclusion criteria: 1. Immune compromised patient 2. Coagulopathy or thrombocytopenia 3. Existence of ruptures other than ipsilateral vaginal wall rupture that require suturing and may cause additional complaints of pain 4. Haemorrhage requiring fast intervention 5. Inadequate understanding of the Dutch language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain scores as measured by a Visual Analoguous Scale (VAS) when in sitting position at 10 days post partum | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain, when walking and supine position, using VAS scores at 6 weeks, 3 months 2. Dyspareunia, using the VAS score, measured after 6 weeks, 3 months 3. Wound infections, measured at 10 days, 6 weeks, 3 months 4. Wound dehiscence 10 days, 6 weeks, 3 months 5. Percentage of patients using analgesics, measured at 24 hours, 10 days, 6 weeks, 3 months 6. Percentage of patients that have suture material removed, measured at 10 days, 6 weeks, 3 months 7. Percentage of patients resuming intercourse, measured at 6 weeks, 3 months | — |
Countries
Netherlands
Contacts
Public ContactRoeland Odijk
Outcome results
None listed