Episiotomy Wound
Conditions
Brief summary
Millions of women worldwide undergo perineal suturing after childbirth and the type of repair may have an impact on pain and healing. The skin as a barrier between the internal structures and the external environment is exceptionally susceptible to injury, either through accidental injury or planned surgical incision. Today, as surgery increases in complexity, and the heightened public awareness of scar cosmesis and skin healing need to be optimized to ensure the overall success of the surgical procedure
Interventions
repair of perineal muscles and skin
Sponsors
Study design
Eligibility
Inclusion criteria
* Normal vaginal delivery. * At term (37 40 weeks ). * Live baby. * Vertex presentation
Exclusion criteria
* Third and fourth degree perineal tear. * Instrumental vaginal delivery. * Previous perineal surgery. * Anaemia with hemoglobin level \< 9 g/dl. * Diabetes mellitus. * Coagulation abnormalities. * Postpartum hemorrhage. * Delivery conducted outside Woman HealthHospital. * Breech delivery. * Body mass index \>35 kg/m2. * Local infectious lesions. * Anal fissures or hemorrhoid.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the mean score of Perineal pain during vaginal suturing | 10 minutes | assessment through visual analog scale score from 0 - 10 at every step of repair |