Episiotomy
Conditions
Brief summary
this study aims to assess the efficacy and the safety of various cosmetic techniques (subcuticular, surgical glue, adhesive tapes) for perineal skin closure during mediolateral episiotomy repair
Interventions
Those undergoing Subcuticular suturing of perineal skin using 910 polyglactin vicryl No 2/0 (EGYCRYL®).
Those undergoing perineal skin closure using adhesive glue n-butyl-2-cyanoacrylate (Histoacryl®).
Those undergoing closure of perineal skin via Adhesive surgical water-resistant tape application. (3M® Transpore™ Surgical Tapes).
Sponsors
Study design
Eligibility
Inclusion criteria
* Women aged above 18 yrs. * Primiparous. * Undergoing spontaneous vaginal delivery of a single full-term fetus. * Vertex presentation. * Having mediolateral episiotomy.
Exclusion criteria
* Body mass index ≥ 35 kg/m2 * Complicated delivery by any tears other than episiotomy or postpartum hemorrhage. * Any risk factor causing increased stretch of the perineum; Operative vaginal delivery, fetal macrosomia. * The use of epidural anesthesia. * Previous perineal surgeries, local infection or lesions. * Any medical condition that can cause excessive bleeding or impair wound healing; (cardiovascular disease, diabetes, anemia, coagulopathy, collagen disease or Immunosuppression). * Contraindication or Hypersensitivity to any of materials used in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short -term postpartum pain | six hours postpartum | Post-operative perineal pain will be evaluated at 6 hrs after the procedure using visual analogue scale patient to choose a number from 0 to 10 that best describes their current pain. 0 would mean no pain and 10 would mean worst possible pain |