Documente Academic
Documente Profesional
Documente Cultură
for repair of
episiotomy and tears
at childbirth
Background
Objectives
To
Search methods
Cochrane
Selection criteria
Randomised
Main results
comparisons included:
while more women with standard synthetic sutures required the removal of
unabsorbed suture material
There was no significant evidence of any difference between groups sutured with standard versus
rapidly absorbing sutures in the numbers of women experiencing perineal pain at321 up to three days
after delivery
Similarly, differences between groups for perineal pain at 10 to 14 days were not statistically significant
Use of analgesia for perineal pain was reported in one trial, and fewer women with rapidly absorbing
sutures were using analgesics at 10 days post delivery
Women sutured with fast-absorbing synthetic sutures were more likely to have wound skin edges gaping
at up to 10 days,compared with those with standard synthetic sutures
Three women sutured with fast-absorbing material required resuturing compared with one woman with
standard synthetic sutures
More women with standard sutures required the removal of suture material compared with those with
rapidly absorbing stitches
Pain at three days after delivery was examined in one trial and there was no evidence of
any difference between groups sutured with either chromic catgut or glycerol impregnated
catgut (Softgut)
At 10 to 14 days pain was measured in two trials and Softgut was associated with more
women experiencing pain,
There was no significant difference in the number of women with wound dehiscence at 10
days
More women with standard catgut required the removal of suture material by three months
Approximately 25%of women continued to experience dyspareunia three months after the
birth of their babies.
There was no evidence of any differences in mean pain scores for women
repaired with synthetic monofilament sutures or polyglycolic acid sutures
at one to three days after delivery.
There was no strong evidence of any difference between group for pain at
eight to 12 weeks .
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