First degree perineal laceration during delivery
Conditions
Interventions
Experimental group: 10 women with first-degree perineal tears due to vaginal delivery will receive perineal repair by means of the ethyl-2-cyanoacrylate adhesive. The repair by means of the experiment
Procedure/surgery
Sponsors
Escola de Enfermagem da Universidade de São Paulo
Pronto Socorro e Maternidade Zoraide Eva das Dores
Eligibility
Sex/Gender
Female
Age
16 Years to No maximum
Inclusion criteria
Inclusion criteria: to have up to 6 centimetres of cervical dilation at the time the woman is invited to participate in the research; Do not use steroid substances; Do not present leucorrhoea or any signs of infection at the repair site; No diagnosis of diabetes mellitus; without history of allergy to surgical glue or formaldehyde; No difficulty in understanding the Portuguese language or in communication; Accept being submitted to perineal repair methods with skin adhesive or suture thread.
Exclusion criteria
Exclusion criteria: Do not have vaginal delivery; Not having first degree laceration with indication of suture; Have episiotomy or laceration of second, third or fourth degree; Have physometry; have vulvar varicose veins; Have complications from the childbirth or postpartum requiring hospital transfer of the woman to a hospital of high complexity.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decrease of the intensity of perineal pain, verified through the Visual Numerical Scale (from 0 to 10 where 0 represents absence of pain and 10 the worst possible pain), considering the decrease of 2 or more points in the mean of the experimental group, related to the control group. The outcome will be assessed in the following moments after birth: until 2 hours, 12-24 hours, 36-48 hours and 10-20 days. | — |
Secondary
| Measure | Time frame |
|---|---|
| Increase of the perineal healing process, evaluated by the REEDA scale (redness, edema, ecchymosis, discharge and approximation, with an assigned score from 0 to 15), considering the decrease of 1 or more points in the mean of the experimental group, related to the control group. The outcome will be assessed in the following moments after birth: 12-24 hours, 36-48 hours and 10-20 days. Increase of the satisfaction of the woman with the perineal repair, analyzed through a scale likert (answers categorized in 4 points, corresponding to very unsatisfied, satisfied, unsatisfied and very satisfied), considering the increase of 2 or more points in the mean of the experimental group, related to the control group. The outcome will be assessed in the following moments after birth: until 2 hours, 12-24 hours, 36-48 hours and 10-20 days. Decrease of perineal repair time, recorded through a digital timer from the time the repair begins (included the local anestethic procedure) to finishs, considering the decrease of 3 or more minutes in the mean of the experimental group, related to the control group. | — |
Countries
Brazil
Contacts
Public ContactThaís Teixeira
Escola de Enfermagem da Universidade de São Paulo
Outcome results
None listed