Mediolateral Episiotomy After Delivery
Conditions
Keywords
skin adhesive, tissue adhesive, mediolateral episiotomy, perineal repair, labor and delivery, repair
Brief summary
Surgical repair of perineal lesions after delivery is frequently associated with pain and discomfort interfering with the normal activities of the puerperium. The aim of this study was to compare perineal skin repair after episiotomy with adhesive glue versus a subcuticular suture, regarding the incidence of pain and wound complications.
Interventions
PROCEDUREoctyl-2-cyanoacrylate adhesive glue
use of octyl-2-cyanoacrylate adhesive glue for perineal skin repair after episiotomy
PROCEDURESubcuticular suture of perineal skin
Use of continuous subcuticular suture with rapidly absorbable polyglactin 910 for closure of the perineal skin in episiotomy repair
Sponsors
Universidade do Porto
Hospital Sao Joao
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Healthy volunteers
No
Inclusion criteria
* vaginal delivery * episiotomy performed * no further perineal or vaginal lesions present
Exclusion criteria
* previously existing local infections or lesions * body mass index \> 35 (Kg/m2) * severe pulmonary disease * collagen disease * known immunodeficiency * diabetes mellitus * immunosuppressive treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-assessed perineal pain | First 30 days after delivery |
Secondary
| Measure | Time frame |
|---|---|
| Pain during procedure | within 1 hour after birth |
| Difficulties reported during procedure | within 1 hour after birth |
| Number of sutures and adhesive devices used | within 1 hour after birth |
| Total time spent with repair of episiotomy | within 1 hour after birth |
| Need to seek health facilities | 30 days after delivery |
| Return of sexual activity | 30 days after delivery |
| Wound complications | 42-68 hours after delivery |
Countries
Portugal
Outcome results
None listed