Continuous Versus Interrupted Sutures for Repair of Episiotomy or Second Degree Tears: a Randomised Controlled Trial

Madrid Health Service

Status: Completed

Conditions: Pain

Treatments: Procedure: repair of episiotomy or second degree tears

Study type: Interventional

Funder types: Other

Identifiers

NCT00777270

FIS-PI051023

Details and patient eligibility

About

The best technique for this repair would be that which requires least time in realisation, least consumption of material for the repair and that which produces less pain at short and long-term permitting the resumption of intercourse quicker and with less pain thereby requiring less necessity to take out the stitches and less frequency of re stitching. The investigators research is looking for a technique for repairing the perineum more advantageously.

Full description

445 women who participated in the project had undergone normal deliveries with episiotomy or second-grade tearing of the perineum. One group was repaired with continuous non-locking suture in the vagina, perineum and subcutaneous tissue. The other group used continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture. The threads used for stitching were identical in both groups. The same questions were asked concerning the sensation of pain and the use of painkillers, the second and the tenth day and at the three months.

Enrollment: 445 patients

Sex: Female

Volunteers: No Healthy Volunteers

Inclusion criteria

• vaginal childbirth
• at least 37 weeks of gestation
• assistance by one of the 4 matrons who participated in the project
• have been subjected to an episiotomy or the appearance of tearing that affected skin and muscle
• The newborn child had to be alive, viable

Exclusion criteria

• instrumentation
• produce injury in the anal sphincter or in the rectum.
• serious congenital malformations.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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445 participants in 2 patient groups

1 continuous

Experimental group

Description:

continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue.

Treatment:

Procedure: repair of episiotomy or second degree tears

Procedure: repair of episiotomy or second degree tears

2 interrupted

Experimental group

Description:

interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture

Treatment:

Procedure: repair of episiotomy or second degree tears

Procedure: repair of episiotomy or second degree tears