COMPARISON OF SAFETY BETWEEN INTRA-DERMAL VERSUS CONVENTIONAL CLOSURE DURING EPISIOTOMY IN TERMS OF COMPLICATIONS
Introduction: Episiotomy is a commonly used obstetric intervention. Many procedures are available to decrease perineal complications in the postpartum period. The purpose is to adopt a more effective surgical modality that is associated with fewer complications and morbidities which will help to decrease patients’ sufferings in postpartum period. The study aimed to compare intra-dermal and conventional closure of the episiotomy in terms of complications.
Study Design : Randomized controlled trial .
Setting: Department of Obstetrics and Gynecology, RIHS, Islamabad.
Period: 1 year between 1st January 2019 and 31st December 2019.
Materials & Methods : Written informed consent was taken in all study participants and study was approved by institutional review board. A total of 162 women were randomly assigned to receive either intradermal closure or conventional closure during episiotomy. Data was analyzed in SPSS version 22.0. The frequency of wound dehiscence and perineal pain was compared between the two groups using chi square test.
Results: The average age in group A (Intradermal closure) was 28.2 ± 4.8 years and in group B (Conventional closure) it was 27.9 ± 5.1. The overall mean gestational age was 39.23 ± 2.05 weeks. Wound dehiscence was present in 7.4% cases of in group A, and in 27.2% of patients in group B (p = 0.001). Perineal pain was reported in 6.2% of patients in group A compared to 30.9% of group B patients (p= 0.001).
Conclusion: Intradermal closure was associated with fewer complications of wound dehiscence and perineal pain than conventional closure during episiotomy in women undergoing vaginal delivery.
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