This study will be done to question the superiority of using skin adhesive tape (® Steri-Strip) closure in wound pain and healing over the traditional running absorbable subcuticular suture technique in perineal repair after episiotomy in obese primiparous women..

Episiotomy is the most common operating procedure that most obstetricians will perform in their lifetime. Because it is so common and considered minor surgery, teaching students or interns the principles and techniques usually is left to the most junior of residents

The optimal method for episiotomy and perineal trauma repair following childbirth remains open to debate and a great cause of concern to doctors, midwives, and the public

Apparently, the ideal method for perineal repair should be quick, painless, easy to perform and preferably, without an increase in pain and dyspareunia during the puerperium

This study will be commenced to question the advantage of using skin adhesive tape (® Steri-Strip) closure in wound pain and healing over the traditional running absorbable subcuticular suture technique in perineal repair after episiotomy in obese primiparous women.

Inclusion Criteria:

• primigravidae 18 years or older.
• Spontaneous not induced full term normal not instrumental vaginal delivery with mediolateral episiotomy.
• First and 2nd-degree perineal tear.
• BMI≥30

Exclusion Criteria:

• • patients who had an instrumental delivery.

  • 3rd and fourth-degree perineal tears.
  • those with local infectious lesions in the area to be repaired.
  • preexisting medical disorders as diabetes mellitus, severe pulmonary disease and collagen disease.
  • Immunosuppressive treatment.
  • known hypersensitivity to adhesive tape or materials.
  • Maternal unwillingness to undergo randomization.