Comparison of Continuous Versus Interrupted Sutures for Episiotomy on Perineal Pain and Healing among Primiparous Women: A Randomized Controlled Trial.

Abstract

Abstract: Introduction: Episiotomy is the most common perineal surgery in woman. Like any other surgical incision, episiotomy results in some discomforts for most of postpartum patients such as: vaginal bleeding, infection, pain, Odem, dyspareunia, suture dehiscence and hematoma Suturing technique for perineal repair after childbirth can have an important effect on pain severity and degree of healing. The aim of this study is the comparison suturing techniques of episiotomy on perineal pain and healing among primiparous women. Methods: The study was carried out using a randomized controlled trial method. This study was done on 100 primiparous women referred to Al-Zahra, Taleghani and 29 Bahman hospitals who had mediolateral episiotomy and eligibility criteria’s. Perineal pain intensity was evaluated using Visual Analogue Scale within 12-18hours, and 10 days after episiotomy. Perineal healing was evaluated using REEDA scale within 12-18hours, and 10 days after episiotomy. Data analyzed by Chi-Square Mann-Whitney, and Independent samples t-test, One way ANOVA methods using the SPSS 15 software. Results: findings showed that pain means 12-18 hours after episiotomy in continuous group was 3.15±1.82 and in interrupted group was 3.96±1.97 .In ten days after delivery pain means in continuous group was0.73±0.13 and in interrupted groups was 0.77±0.17 Wound healing means 12-18 hours after episiotomy in continues group was6.12±2.40and in interrupted group was 6.86±2.47 In ten days after delivery wound healing means in continuous group was 1.34±1.83and in interrupted group was 1.73±1.70 There were no significant differences in pin and wound healing between two groups. None of groups did not need additional pain killer. Conclusion: Although we did not demonstrate that one technique was better than the other in the incidence of pain and wound healing, we showed that episiotomy repairs with continuous suturing were quicker and used less suture material without an increase in complications than interrupted suturing.