During childbirth, the recommendations have evolved to a restriction of episiotomy. This reduction results in an increase of superficial vaginal and perineal tears. These lesions are usually routinely sutured which often causes the onset of discomfort and pain in the immediate postpartum period. Gordon showed, in 1998, improved comfort and pain when the skin was not sutured perineal tears during the second degree. Others have compared different techniques in the same indications (separated points running suture, biological adhesive) without demonstrated impact. These studies were not interested in isolated perineal tears or first degree or the application of a simple manual compression with or without a suture according to the result of hemostasis.

Our objective is to evaluate the possibility of not suture the perineum of the first degree. The use of suture only result of bleeding not yielding to manual compression.

Our approach is guided by the principles of "primum non nocere" and discerning about the dogmatic systematization.

Inclusion Criteria:

• single Pregnancy
• primiparae
• delivery by spontaneous vaginal delivery
• forward Delivery (≥ 37 weeks)
• cephalic presentation
• children living
• perineal tear or isolated first-degree vaginal tear

Exclusion Criteria:

• Known haemostatic anomaly
• Premature birth (before 37)
• caesarean
• Instrumental delivery
• Placenta and / or uterine revision
• episiotomy
• perineal tear ≥ 2nd degree