this study aims to assess the efficacy and the safety of various cosmetic techniques (subcuticular, surgical glue, adhesive tapes) for perineal skin closure during mediolateral episiotomy repair

Inclusion Criteria:

• Women aged above 18 yrs.
• Primiparous.
• Undergoing spontaneous vaginal delivery of a single full-term fetus.
• Vertex presentation.
• Having mediolateral episiotomy.

Exclusion Criteria:

• Body mass index ≥ 35 kg/m2
• Complicated delivery by any tears other than episiotomy or postpartum hemorrhage.
• Any risk factor causing increased stretch of the perineum; Operative vaginal delivery, fetal macrosomia.
• The use of epidural anesthesia.
• Previous perineal surgeries, local infection or lesions.
• Any medical condition that can cause excessive bleeding or impair wound healing; (cardiovascular disease, diabetes, anemia, coagulopathy, collagen disease or Immunosuppression).
• Contraindication or Hypersensitivity to any of materials used in the study.