• Rukhsana Nazir Holy Family Hospital


Introduction: Perineal repair is associated with maternal morbidity it can lead to major physical, psychological and social problems, affecting the woman's ability to care for her new born baby. Outcome of perineal repair depends on the severity of perineal trauma and on the effectiveness of treatment. The type of suturing material, the skill of the operator, and the technique of repair are the 3 main factors that influence the outcome of perineal repair.

Objective To compare the outcome of intradermal closure versus conventional closure of episiotomy.

Materials & Methods: It’s a randomized controlled trial conducted in Department of Obstetrics & Gynaecology unit 1, Holy Family Hospital, Rawalpindi fron 31st August 2020 to 28th February 2021. A total of 406 women undergoing episiotomies, 18 to 40 years of age were included. Patients with risk pregnancy were excluded. After taking informed written consent, the selected patients were placed randomly into two equal groups i.e. Group A (intradermal closure) & Group B (conventional closure), by lottery method. All the procedures were performed by the same surgeon. All the patients were followed by the researcher herself and outcome (post-operative pain (yes/no), induration (yes/no), wound dehiscence (yes/no) and wound discharge (yes/no) will be noted

Results: The mean age of women in group A was 27.23 ± 3.66 years and in group B was 27.77 ± 2.97 years. Majority of the patients 341 (83.99%) were between 26 to 35 years of age. The mean gestational age in group A was 38.35 ± 1.30 weeks and in group B was 38.38 ± 1.30 weeks. In my study, post-operative pain, induration and wound dehiscence was found in 84 (41.83%), 09 (4.43%) and 15 (7.39%) in intradermal closure versus 114 (56.16%), 39 (19.21%) and 62 (30.54%) in conventional closure (p-value = 0.0001).

Conclusion: This study concluded that post-operative pain and complications is less in patients with intradermal closure of episiotomy as compared to in those with conventional closure.

Keywords: episiotomy, intradermal closure, perineal pain.

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