Continuous Versus Interrupted Sutures for Repair of Episiotomy or Second Degree Tears: a Randomised Controlled Trial

NCT ID: NCT00777270

Last Updated: 2008-10-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

445 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2007-10-31

Brief Summary

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The best technique for this repair would be that which requires least time in realisation, least consumption of material for the repair and that which produces less pain at short and long-term permitting the resumption of intercourse quicker and with less pain thereby requiring less necessity to take out the stitches and less frequency of re stitching. The investigators research is looking for a technique for repairing the perineum more advantageously.

Detailed Description

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445 women who participated in the project had undergone normal deliveries with episiotomy or second-grade tearing of the perineum. One group was repaired with continuous non-locking suture in the vagina, perineum and subcutaneous tissue. The other group used continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture. The threads used for stitching were identical in both groups. The same questions were asked concerning the sensation of pain and the use of painkillers, the second and the tenth day and at the three months.

Conditions

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Pain

Keywords

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episiotomy perineal lesion vaginal trauma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1 continuous

continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue.

Group Type EXPERIMENTAL

repair of episiotomy or second degree tears

Intervention Type PROCEDURE

continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue.

repair of episiotomy or second degree tears

Intervention Type PROCEDURE

interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture

2 interrupted

interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture

Group Type EXPERIMENTAL

repair of episiotomy or second degree tears

Intervention Type PROCEDURE

interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture

Interventions

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repair of episiotomy or second degree tears

continuous suture technique with continuous non-locking suture in the vagina, perineum and subcutaneous tissue.

Intervention Type PROCEDURE

repair of episiotomy or second degree tears

interrupted technique with continuous locking suture of the vagina, interrupted sutures in the perineum muscle and interrupted transcutaneous suture

Intervention Type PROCEDURE

Other Intervention Names

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(Vicryl Rapid; Ethicon) (Vicryl Rapid; Ethicon).

Eligibility Criteria

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Inclusion Criteria

* vaginal childbirth
* at least 37 weeks of gestation
* assistance by one of the 4 matrons who participated in the project
* have been subjected to an episiotomy or the appearance of tearing that affected skin and muscle
* The newborn child had to be alive, viable

Exclusion Criteria

* instrumentation
* produce injury in the anal sphincter or in the rectum.
* serious congenital malformations.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario Principe de Asturias

OTHER

Sponsor Role lead

Responsible Party

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Fundación Hospital Principe de Asturias

Principal Investigators

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Pedro Valenzuela, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Prínicpe de Asturias

Locations

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Fundación Hospital Príncipe de Asturias

Alcalá de Henares, Madrid, Spain

Site Status

Countries

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Spain

References

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Kettle C, Hills RK, Jones P, Darby L, Gray R, Johanson R. Continuous versus interrupted perineal repair with standard or rapidly absorbed sutures after spontaneous vaginal birth: a randomised controlled trial. Lancet. 2002 Jun 29;359(9325):2217-23. doi: 10.1016/S0140-6736(02)09312-1.

Reference Type RESULT
PMID: 12103284 (View on PubMed)

Fleming N. Can the suturing method make a difference in postpartum perineal pain? J Nurse Midwifery. 1990 Jan-Feb;35(1):19-25. doi: 10.1016/0091-2182(90)90053-8.

Reference Type RESULT
PMID: 2406391 (View on PubMed)

Other Identifiers

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FIS-PI051023

Identifier Type: -

Identifier Source: org_study_id