Simple Continuous, Subcuticular and Interrupted Skin Suturing of Episiotomy and 2nd-degree Perineal Tears

Simple Continuous, Subcuticular and Interrupted Skin Suturing of Episiotomy and 2nd-degree Perineal Tears : A Comparative Study

Millions of women worldwide undergo perineal suturing after childbirth and the type of repair may have an impact on pain and healing.

The skin as a barrier between the internal structures and the external environment is exceptionally susceptible to injury, either through accidental injury or planned surgical incision. Today, as surgery increases in complexity, and the heightened public awareness of scar cosmesis and skin healing need to be optimized to ensure the overall success of the surgical procedure

Inclusion Criteria:

• Normal vaginal delivery.
• At term (37 40 weeks ).
• Live baby.
• Vertex presentation

Exclusion Criteria:

• Third and fourth degree perineal tear.
• Instrumental vaginal delivery.
• Previous perineal surgery.
• Anaemia with hemoglobin level < 9 g/dl.
• Diabetes mellitus.
• Coagulation abnormalities.
• Postpartum hemorrhage.
• Delivery conducted outside Woman HealthHospital.
• Breech delivery.
• Body mass index >35 kg/m2.
• Local infectious lesions.
• Anal fissures or hemorrhoid.