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Revista Iberoamericana de Educación e Investigación en Enfermería

Revista Iberoamericana de Educación e Investigación en Enfermería

ENERO 2016 N° 1 Volumen 6

Monofilament versus multifilament suture to repair perineum tears and episiotomies: a prospective randomized study on infection and postpartum pain

Section: Originals

How to quote

Corcuera Ortiz de Guzmán L, Mohamed Mohamed D, Cabañas Pérez A, Palacios Raposo C, Rodríguez Díaz C, Vázquez Lara JM. Sutura monofilial versus sutura multifilial en la reparación de desgarros perineales y episiotomías. Estudio prospectivo y aleatorizado sobre infección y dolor posparto. Rev. iberoam. educ. investi. Enferm. 2016; 6(1):69-76.

Authors

1Lorena Corcuera Ortiz de Guzmán, 2Dina Mohamed Mohamed, 3Anabel Cabañas Pérez, 2Carmen Palacios Rafoso, 2Luciano Rodríguez Díaz, 4Juana María Vázquez Lara

Position

1 Matrona Área Sanitaria de Ceuta. 2 Matrona Área Sanitaria de Ceuta. Hospital Universitario de Ceuta. Profesora de la Unidad Docente de Matronas de Ceuta.3 Matrona Área Sanitaria de Ceuta.4 Coordinadora y Profesora de la Unidad Docente de Matronas de Ceuta. Área Sanitaria de Ceuta.

Contact email: lorenacorcuera@hotmail.com

Abstract

Introduction: perineum repair is performed after childbirth in millions of women and can result in maternal morbidity. Most women show some short-term discomfort or pain after perineum repair, and some of them have long-term problems, such as dyspareunia.
Purpose: to assess potential significant differences in wound infections and postpartum pain related to the use of monofilament versus multifilament sutures to repair vaginal tears and episiotomies.
Material and methods: a prospective study was designed to include 60 women adequately monitored during their pregnancy in the Healthcare Area at Ceuta who needed episiotomy or suffered a second degree perineum tear during childbirth. Women were randomly assigned to two 30-patient groups. Frequency of clinical infections and postpartum pain level were assessed and their potential association to suture was evaluated. Infection signs and perineum wound pain were assessed at 4-7 days and at 1 month after childbirth.
Results: mean age was 27 years. No perineum wound infections were found in participants.
Conclusion: no significant differences were observed in perineum wound infections. Although some differences in pain were observed depending on the type of suture, further randomized clinical trials are needed with a higher number of patients to establish the most appropriate suture.

Keywords:

suture; infection; pain; episiotomy

Versión en Español

Título:

Sutura monofilar versus sutura multifilar en la reparación de desgarros perineales y episiotomías. Estudio prospectivo y aleatorizado sobre infección y dolor posparto

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

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