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Document Type

Original Article

Abstract

Background: Episiotomy is a surgical incision that is done on the perineum to simplify delivery by decreasing the resistance of the outlet's soft tissues & straightening the pelvic canal.

Aim and objectives: to compare the efficacy of continuous versus interrupted suturing in the healing of the episiotomy following the first-time mother's delivery.

Subjects and methods: This randomized comparative research was established on 200 women undergoing an episiotomy. cases were randomly allocated into 2 groups: Group A: included 100 cases used a continuous suturing approach for wound closure (No. 2/0 polyglactin 910 (vicryl) sutures. Group B: included 100 cases used interrupted sutures for their repairs (No. 2/0 polyglactin 910 (vicryl) sutures).

Results: 24% of females in the continuous group and 35% of female in the interrupted group developed wound infection, while 31% of women in the continuous group and 33% of females in the interrupted group experienced wound dehiscence. While there was a statistically significant difference among the groups after 12 hours (p=0.003), there was no significant difference between the two groups after 2 weeks (p>0.05) on the REEDA scale. VAS score at 6 and 12 hours was significantly higher in the interrupted group matched to the continuous group (p

Conclusion: Less short-term discomfort, repair time, and dyspareunia were associated with the utilization of the continuous suture approach for perineal closure. The continuous method is simple to implement and more cost-effective than the interrupted method.

Keywords

Episiotomy; Continuous suture technique; dyspareunia; perineal closure

Subject Area

Obstetrics and Gynecology

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