Pain after episiotomy--a comparison of two methods of repair

Episiotomy is a very common operation but little is known of its short-term or long-term morbidity.A prospective study was designed to record postpartum perineal discomfort and to investigate the presence and persistence of dyspareunia following episiotomy in 140 primigravidae. A comparison was made...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the Royal College of General Practitioners 1980-05, Vol.30 (214), p.297-300
Main Authors: Buchan, P C, Nicholls, J A
Format: Article
Language:English
Subjects:
Adult
Dyspareunia - etiology
Episiotomy - adverse effects
Episiotomy - methods
Female
General Practitioner Obstetrics
Humans
Perineum - surgery
Postpartum Period
Pregnancy
Suture Techniques
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Episiotomy is a very common operation but little is known of its short-term or long-term morbidity.A prospective study was designed to record postpartum perineal discomfort and to investigate the presence and persistence of dyspareunia following episiotomy in 140 primigravidae. A comparison was made between those whose perineal skin was sutured with a subcuticular polyglycolic acid (;Dexon') stitch and those sutured with interrupted black silk stitches.Patients sutured with subcuticular ;Dexon' had significantly less perineal discomfort on the third, fourth, and fifth postpartum days. Patients who had epidural analgesia in labour had significantly more pain during the first five postpartum days irrespective of the suture material used.The timing of first coitus after delivery did not influence the presence or persistence of dyspareunia. Dyspareunia was commoner and lasted longer in patients sutured with ;Dexon' and it was also commoner in older primigravidae irrespective of the suture technique.
ISSN:0035-8797