Database - (CIANE) | |
Description of this bibliographical database (CIANE website) |
https://ciane.net/id=2559 | ➡ Modify this record |
Bibliographical entry (without author) : | Continuous versus interrupted sutures for repair of episiotomy or second-degree perineal tears: a randomised controlled trial - BJOG: An International Journal of Obstetrics & Gynaecology - Vol. 116, 3 - ISBN: 1471-0528 - p.436-441 |
Author(s) : | Valenzuela, P; Saiz Puente, Ms; Valero, Jl; Azorín, R; Ortega, R; Guijarro, R |
Year of publication : | 2009 |
URL(s) : | http://onlinelibrary.wiley.com/doi/10.1111/j.1471-… |
Résumé (français) : |
|
Abstract (English) : | Objective To evaluate the repair techniques of continuous and interrupted methods for episiotomy or perineal tears. Design A randomised controlled trial. Setting The Hospital Universitario Principe de Asturias, a state hospital belonging to the community of Madrid. Sample Four hundred forty-five women who had undergone vaginal deliveries with episiotomies or second-grade tearing of the perineum between September 2005 and July 2007. Methods One group was repaired with continuous, nonlocking sutures involving the vagina, perineum, and subcutaneous tissues. The other group had continuous, locking sutures of the vagina, interrupted sutures in the perineal muscles, and interrupted transcutaneous sutures. The threads used for stitching were identical in both groups. Main outcome measures The participants were questioned regarding the sensation of pain and the use of painkillers on the second and the tenth days, and 3 months postpartum. Results When comparing the group with continuous suture to the group with interrupted sutures, the differences included less repair time (1 minute; P= 0.017) and less suture material used (relative risk [RR], 3.2, 95% CI: 2.6–4.0). The comparison of pain on the second and tenth days, and 3 months postpartum were not statistically different between the two techniques (RR, 1.08, 95% CI: 0.74–1.57; RR, 0.96, 95% CI: 0.59–1.55; and RR, 0.68, 95% CI: 0.19–2.46, respectively). Conclusions Although we did not demonstrate that one technique was better than the other in the incidence of pain in the short or long term, we showed that episiotomy and perineal tear repairs with continuous suturing were quicker and used less suture material without an increase in complication than interrupted suturing. |
Sumário (português) : |
|
Resumen (español) : |
|
Comments : | |
Argument (français) : |
|
Argument (English): | |
Argumento (português): |
|
Argumento (español): |
|
Keywords : | ➡ episiotomy ; scars |
Author of this record : | Import 02/08/2014 — 02 Aug 2014 |
Discussion (display only in English) | ||
---|---|---|
New expert query --- New simple query
Creating new record --- Importing records
User management --- Dump database --- Contact
This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
➡ Sign in or create an account to follow changes or become an editor.
➡ Contact bibli(arobase)ciane.net for more information.
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public databases towards the support of parents and caregivers’ informed decisions with respect to childbirth |