Randomized controlled clinical trial on two perineal trauma suture techniques in normal delivery

Area of Science:

• Obstetrics and Gynecology
• Surgical Techniques
• Postpartum Care

Background:

• Perineal lacerations and episiotomies are common during vaginal delivery.
• Suture techniques influence postpartum healing and maternal discomfort.
• Optimizing perineal repair is crucial for reducing postpartum morbidity.

Purpose of the Study:

• To compare the efficacy of continuous versus interrupted suture techniques for perineal repair.
• To evaluate differences in wound healing and perineal pain between the two techniques.
• To assess postpartum complications associated with different suturing methods.

Main Methods:

• A randomized controlled trial involving 61 women with episiotomy or second-degree perineal tears.
• Participants were assigned to either continuous (n=31) or interrupted (n=30) suture groups.
• Outcomes included wound healing (edema, ecchymosis, hyperemia, secretion, dehiscence, fibrosis) and pain (frequency and degree).

Main Results:

• Both continuous and interrupted suture techniques resulted in 100% first-intention healing.
• No statistically significant differences were observed in most morbidity outcomes.
• Perineal pain upon palpation at four days postpartum was more frequent in the interrupted suture group.

Conclusions:

• Continuous and interrupted suture techniques are equally effective for achieving primary perineal wound healing.
• Interrupted sutures may be associated with a higher incidence of perineal pain in the early postpartum period.
• Further research could explore patient-reported pain and long-term outcomes.