perineal pain normal delivery
Conditions
Interventions
The suture begins from the angle of the vaginal mucosa with continuous suture up to the hymen
when arriving at carunculas it is passed to the muscular layer continuing with continuous suture,
approaching very well the edges of the wound to avoid any dead space
is finished with an intradermal suture from the lower to the upper edge where it is concluded tying with double knot. A single suture VICRYL * rapide # 0 is used,The suture begins from the angle of th
in the muscle approach the edges with loose stitches
on the skin approach the edges with loose stitches,
knot each point with 2 knots,
leaving the ends of about 1 cm. It will be used to make this suture VICRYL * rapide nº 0 and VICRYL * rapide nº 00.,The vaginal mucosa is approached with a continuous,
non-
linked suture. The deep and superficial perineal muscles approach with an interrupted suture and the dermis approaches with inverted subcutaneous points.
continuous suture in three layers (vagina,
perineal muscles and skin),interrupted suture with loose points on the skin,interrupted suture with subcutaneously inverted points
Sponsors
Carolina Lopez Lapeyrere
Montserrat SolÃs Muñoz/Nursing and Healthcare Researcher,
Nursing Area,
Puerta de Hierro Majadahon
Eligibility
Sex/Gender
Female
Age
18 Years to 50 Years
Inclusion criteria
Inclusion criteria: Women who are pregnant at term over 18 years of age, whose delivery is eutocic, attended by midwives, who have a mediolateral episiotomy during childbirth or who have a second degree tear (if the episiotomy was not performed) , and to give prior informed consent.
Exclusion criteria
Exclusion criteria: women who do not understand Spanish and with whom communication is difficult (approximately 5% of the total number of women attended); those that present previous perineal scars that needed new suture or with signs of fibrosis; that present an infectious lesion in the genital region; with first or second degree tear added to the episiotomy; with third or fourth degree tearing; with intact perineum or first degree tear; those requiring instrumental delivery (vacuum, forceps or spatulas); history of pelvic floor alterations treated or not with surgery; requiring transfusion during childbirth; with pain or discomfort in pre-gestational sex.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| perineal pain 10 days postpartum Visual Numeric Scale (0-10) | — |
Secondary
| Measure | Time frame |
|---|---|
| dyspareunia 3 and 6 months postpartum Carol Scale,perineal pain 2 and 48 hours postpartum Visual Numeric Scale (0-10),perineal healing 2h, 48h and 10 days postpartum REEDA Scale (0-15) | — |
Contacts
Public ContactMontserrat Solis-Munyoz
Puerta de Hierro Majadahonda University Hospital
Outcome results
None listed