Different Techniques for Perineal Skin Closure During Mediolateral Episiotomy Repair

Comparison of Different Techniques for Perineal Skin Closure During Mediolateral Episiotomy Repair

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.