Volume 25, Issue 8 (Oct 2017)                   JSSU 2017, 25(8): 595-602 | Back to browse issues page

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Azima S, Allahbakhshinasab P, Asadi N, Vaziri F. Comparison of early complications of episiotomy repair with rapid vicryl and chromic catgut in the nulliparous women. JSSU. 2017; 25 (8) :595-602
URL: http://jssu.ssu.ac.ir/article-1-4105-en.html
Abstract:   (1003 Views)
Introduction: Episiotomy has some complications such as inflammation, edema, dehiscence and perineal pain. The object of this study was comparison of the early complications of episiotomy repair with rapid vicryl and chromic catgut in the nulliparous women.
Methods: In this randomized clinical trial, 100 nulliparous women during labor were randomly selected and divided equally into two groups (50 in each group). Repair of episiotomy in the first group with rapid vicryl and in the second group with chromic catgut was done. The tools were questionnaires on demographic and midwifery characteristics, Reeda scale and visual analog scale. The participants were evaluated in 4 visits: 24 hours, 3-5 days, 2 weeks and 6 weeks after delivery, respectively. In each visit, the severity of pain, redness, edema, ecchymosis, discharge and proximity to the edges of the episiotomy wound and pain intensity score were assessed. The data were analyzed using SPSS software (v. 16).
Results: Mean pain intensity scores in two groups showed no significant differences. But for Episiotomy wound healing at intervals of 24 hours, 3-5 days and two weeks after delivery, but the total score of Reeda scale in rapid vicryl group was lower than chromic catgut group and this difference was statistically significant (p<0.001).
Conclusion: Based on these findings, it seems that the use of synthetic sutures such as rapid vicryl is more effective than conventional natural sutures in episiotomy repair
Full-Text [PDF 912 kb]   (286 Downloads)    
Type of Study: Original article | Subject: midwifery
Received: 2017/02/8 | Accepted: 2017/07/9 | Published: 2017/12/2

References
2. Cunningham F, Leveno K, Bloom S, Hauth J, Rouse D, Spong C. Williams Obstetrics .23 rd.ed. New York : McGraw - Hill;2010 :806-10.
3. Gibbs RS, Karlan BY, Haney AF, Nygaard IE. Danforth's obstetrics and gynecology. 10th ed. Philadelphia : Wolters Kluwer Lippincott Williams and Wilkins 2008: 113-18.
4. Fraser DM, Cooper MA. Myles text book for midwives.15 th ed , London: churchill livingstone; 2009: 41-50.
5. Bharathi A, Reddy DB, Kote GSH. A prospective randomized comparative study of vicrylrapide versus chromic catgut for episiotomy repair. JCDR 2013; 7(2): 326-30.
6. Kalis V, Stepan Jr, Novotny Z, Chaloupka P, Kralickova M, Rokyta Z. Material and type of suturing of perineal muscles used in episiotomy repair in Europe. Pelviperineology 2008; 27: 17-20.
7. Fraser DM, Cooper MA. Myles text book for midwives.15 th ed. Churchill Livingstone; 2009.
8. Abdollahpoor p, Babaei M, Ghasemi YM. Causes of maternal mortality in pregnant women in urban and rural areas of ilam. Reas health systems J 2011; 7(6): 1278-86.
9. Kindberg S, Stehouwer M, Hvidman L. Postpartum prineal repair performed by Midwives. BJOG 2008; 115(4): 472-79.
10. Bose E, Samant M, Lal P, Mishra S, Ghosh A. Comparison of impact of polyglactin 910 (Vicryl rapide) and chromic catgut sutures on perineal pain following episiotomy wound repair in eastern Indian patients. J scientific society 2013; 40(2): 95-8.
11. Kurian J, Bhaskaran Sh, Shivaram P. Comparative study of episiotomy repair: Absorbable synthetic versus chromic catgut suture material. J Obstet Gynecol India 2008; 85(6): 495-499.
12. Sumbul S, Tazeen A, Sana A. Comparison between syntetic vicryl chrromic catgut on perineal repair. Gynaecology & Obstetrics 2009; 15(2): 48-50.
13. Kettle C, Dowswell T, Ismail KM. Absorbable suture materials for primary repair of episiotomy and second degree tears. Cochrane Database Sys Rev 2010; 6(6): 1-67.
14. Mckinney ES, James SR, Murray SS, Ashwill JW. Maternal-Child Nursing 2th ed. USA: Elsevier Saunders 2005: 409-15.
15. Albers LL, Sedler KD, Bedrick EJ, Teaf D, Peralta P. Midwifery care measures in the second stage of labor and reduction of genital tract trauma at birth:A randomized trial. J Midwifery Woman’s Health 2005; 50(5): 365-72.
16. Johnson A, Thalkar R, Sultan A. Obstetric perineal wound infection. British J Nursing 2012; 21(3): 28-35.
17. Steen M, Cooper K. A tool for assessing perineal trauma. J Wound Care 1997; 6: 432-436.
18. Kimbery K. The Neuromatrix Theory of pain. J Midwifery & Womens Health 2004; 49(6): 482 –88.
19. Leurox N, Bujold E. Impact of chromic catgut versus polyglactin-910 versus fast absorbing polyglactin-910 sutures for perineal repair: A randomized, controlled trial. American J Obstetrics &Gynecology 2006; 194(6): 1585–90.
20. Kalis V, Stepan J, Novotny Z. Material and type of suturing of perineal muscles used in episiotomy repair in Europe. Pelviperineology 2008; 27: 17-20.
21. Rowland M, Foxcroft L, Hopman WM, Patel R. Breastfeeding and sexuality immediately postpartum. Can Fam Physician 2005; 51(10): 1366-7.
22. Kokanli D, Ugur M, Kokanalı MK, Karayalcın R, Tonguc E. Continuous versus interrupted episiotomy repairwith monofilament or multifilament absorbed suturematerials: a randomised controlled trial. Gynecol obstet 2011; 284(2): 275-280
23. Bose E, Samant M, Lal P, Mishra S, Ghosh A. Comparison of impact of polyglactin 910 (Vicryl rapide) and chromic catgut sutures on perineal pain following episiotomy wound repair in eastern Indian patients. J Sci Soc 2013; 40(2): 95-98.

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