Simple Continuous, Subcuticular and Interrupted Skin Suturing of Episiotomy and 2nd-degree Perineal Tears

Assiut University

Status: Unknown

Conditions: Episiotomy Wound

Treatments: Procedure: Episiotomy

Study type: Interventional

Funder types: Other

Identifiers

NCT03611452

SCIE

Details and patient eligibility

About

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

Enrollment: 138 estimated patients

Sex: Female

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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138 participants in 3 patient groups

Simple continuous

Experimental group

Description:

the sutures will be taken continuously by simple method

Treatment:

Procedure: Episiotomy

subcuticular

Active Comparator group

Description:

the sutures will be taken subcuticular

Treatment:

Procedure: Episiotomy

interrupted

Active Comparator group

Description:

the sutures will be taken interrupted method

Treatment:

Procedure: Episiotomy