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The best technique for this repair would be that which requires least time in realisation, least consumption of material for the repair and that which produces less pain at short and long-term permitting the resumption of intercourse quicker and with less pain thereby requiring less necessity to take out the stitches and less frequency of re stitching. The investigators research is looking for a technique for repairing the perineum more advantageously.
445 women who participated in the project had undergone normal deliveries with episiotomy or second-grade tearing of the perineum. One group was repaired with continuous non-locking suture in the vagina, perineum and subcutaneous tissue. The other group used continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture. The threads used for stitching were identical in both groups. The same questions were asked concerning the sensation of pain and the use of painkillers, the second and the tenth day and at the three months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 continuous | Experimental | continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue. |
|
| 2 interrupted | Experimental | interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| repair of episiotomy or second degree tears | Procedure | continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain at that moment ("pain now") | the second and the tenth day and at the three months. |
| Measure | Description | Time Frame |
|---|---|---|
| If sexual intercourse had been re initiated, how long after childbirth, if pain had been experienced the first time and if this continued. | at the three months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pedro Valenzuela, MD | Hospital PrÃnicpe de Asturias | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fundación Hospital PrÃncipe de Asturias | Alcalá de Henares | Madrid | 28805 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12103284 | Result | Kettle C, Hills RK, Jones P, Darby L, Gray R, Johanson R. Continuous versus interrupted perineal repair with standard or rapidly absorbed sutures after spontaneous vaginal birth: a randomised controlled trial. Lancet. 2002 Jun 29;359(9325):2217-23. doi: 10.1016/S0140-6736(02)09312-1. | |
| 2406391 | Result | Fleming N. Can the suturing method make a difference in postpartum perineal pain? J Nurse Midwifery. 1990 Jan-Feb;35(1):19-25. doi: 10.1016/0091-2182(90)90053-8. |
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|
| repair of episiotomy or second degree tears | Procedure | interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture |
|
|
| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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