Episiotomy
Conditions
Keywords
Novosyn Quick, Episiotomy
Brief summary
The aim of this study is to show that the performance of Novosyn® Quick suture material is comparable with other suture material used for episiotomy. In order to show that, various safety and efficacy parameters have been selected. The outcome regarding these parameters will be evaluated by a quantitative summary of the available clinical data from the literature. Study population consists of women with a spontaneous vaginal delivery who required perineal repair due to an episiotomy.
Interventions
Episiotomy closure
Sponsors
Study design
Eligibility
Inclusion criteria
* Primiparous women who require perineal repair due to an episiotomy after spontaneous vaginal delivery. * Singleton birth between 37 and 42 weeks gestation * Written informed consent
Exclusion criteria
* Age\< 18 years * Previous perineal surgery * Instrumental vaginal deliveries * Multiparous (at least 1 previous perineal delivery) * Episiotomy involving the anal sphincter or the rectum * Medical consumption that might adversely affect healing * Women with active infection at the time of delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of wound dehiscence | 3 months postpartum | A dehiscence of the skin which needs surgical treatment with re-closure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of suture removal | 3 months postpartum | Suture removal due to wound problems (infection, gaping wound, residual material requiring removal) |
| Short-term perineal pain (VAS) | 24h to 48h, 10 days postpartum | — |
| Long term perineal pain (VAS) | 3 months postpartum | — |
| Incidence of Re-suturing | 3 months postpartum | Re-suturing due to wound dehiscence |
| Dyspareunia | 3 months post-operatively | Questionnaire |
| Sexual intercourse | 3 months post-operatively | Questionnaire |
| Patient satisfaction with the repair (VAS) | until 3 months postpartum | — |
| Pain in daily living (VAS) | 24h and 10 days postpartum | Pain in repose, during walking, during sitting, when urinating, and when defecating |
Countries
Spain