Trial Outcomes & Findings for The Impact of Different Skin Suture Methods in Episiotomy Repair on Healing and Pain (NCT NCT06379048)

NCT ID: NCT06379048

Last Updated: 2025-06-12

Results Overview

Healing is assessed by Redness, Edema, Ecchymosis and Discharge (REEDA) Score REEDA Scale: Healed: 0; moderately healed: 1 to 5; mildly healed: 6 to 10; and not healed: 11 to 15

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

132 participants

Primary outcome timeframe

in postpartum day 15

Results posted on

2025-06-12

Participant Flow

Participant milestones

Participant milestones
Measure
M-Suture
Episiotomy repair is completed until the skin closure. Interrupted mattress suturing technique is applied to this arm. Mattress Suturing: Horizontal mattress suture in interrupted fashion
I-Suture
Episiotomy repair is completed until the skin closure. Interrupted primary suturing technique is applied to this arm. Primary Suturing: Horizontal primary suture in interrupted fashion
SC-Suture
Episiotomy repair is completed until the skin closure. Continuous subcutaneous suturing technique is applied to this arm. Continuous Subcutaneous Suturing: Subcutaneous suture in continuous fashion
Overall Study
STARTED
44
44
44
Overall Study
COMPLETED
43
43
43
Overall Study
NOT COMPLETED
1
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
M-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Interrupted mattress suturing technique is applied to this arm. Mattress Suturing: Horizontal mattress suture in interrupted fashion
I-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Interrupted primary suturing technique is applied to this arm. Primary Suturing: Horizontal primary suture in interrupted fashion
SC-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Continuous subcutaneous suturing technique is applied to this arm. Continuous Subcutaneous Suturing: Subcutaneous suture in continuous fashion
Total
n=129 Participants
Total of all reporting groups
Age, Continuous
22.6 years
STANDARD_DEVIATION 2.9 • n=43 Participants
24.9 years
STANDARD_DEVIATION 4.8 • n=43 Participants
24.1 years
STANDARD_DEVIATION 4.1 • n=43 Participants
23.9 years
STANDARD_DEVIATION 3.9 • n=129 Participants
Sex: Female, Male
Female
43 Participants
n=43 Participants
43 Participants
n=43 Participants
43 Participants
n=43 Participants
129 Participants
n=129 Participants
Sex: Female, Male
Male
0 Participants
n=43 Participants
0 Participants
n=43 Participants
0 Participants
n=43 Participants
0 Participants
n=129 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Turkey
43 Participants
n=43 Participants
43 Participants
n=43 Participants
43 Participants
n=43 Participants
129 Participants
n=129 Participants
Smoker
2 Participants
n=43 Participants
3 Participants
n=43 Participants
6 Participants
n=43 Participants
11 Participants
n=129 Participants
Body Mass Index
28.4 kg/m2
STANDARD_DEVIATION 4.5 • n=43 Participants
27.3 kg/m2
STANDARD_DEVIATION 3.1 • n=43 Participants
28.3 kg/m2
STANDARD_DEVIATION 5 • n=43 Participants
28 kg/m2
STANDARD_DEVIATION 4.2 • n=129 Participants
Gestational Age at Delivery
39.15 weeks
STANDARD_DEVIATION 1.5 • n=43 Participants
38.56 weeks
STANDARD_DEVIATION 2.14 • n=43 Participants
39.21 weeks
STANDARD_DEVIATION 1.33 • n=43 Participants
38.97 weeks
STANDARD_DEVIATION 1.66 • n=129 Participants
Labor Induction
30 Participants
n=43 Participants
26 Participants
n=43 Participants
26 Participants
n=43 Participants
82 Participants
n=129 Participants
Active Birth Phase Duration (hours)
4.52 hours
STANDARD_DEVIATION 3.89 • n=43 Participants
4.56 hours
STANDARD_DEVIATION 3.22 • n=43 Participants
5.02 hours
STANDARD_DEVIATION 3.55 • n=43 Participants
4.7 hours
STANDARD_DEVIATION 3.55 • n=129 Participants

PRIMARY outcome

Timeframe: in postpartum day 15

Healing is assessed by Redness, Edema, Ecchymosis and Discharge (REEDA) Score REEDA Scale: Healed: 0; moderately healed: 1 to 5; mildly healed: 6 to 10; and not healed: 11 to 15

Outcome measures

Outcome measures
Measure
M-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Interrupted mattress suturing technique is applied to this arm. Mattress Suturing: Horizontal mattress suture in interrupted fashion
I-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Interrupted primary suturing technique is applied to this arm. Primary Suturing: Horizontal primary suture in interrupted fashion
SC-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Continuous subcutaneous suturing technique is applied to this arm. Continuous Subcutaneous Suturing: Subcutaneous suture in continuous fashion
Healing by Redness, Edema, Ecchymosis and Discharge (REEDA) Score
1 REEDA Score
Interval 0.0 to 10.0
1 REEDA Score
Interval 0.0 to 9.0
0 REEDA Score
Interval 0.0 to 5.0

PRIMARY outcome

Timeframe: in postpartum day 15

Pain is assessed from 0 (none) to 10 (extreme) by Visual Analog Scale (VAS)

Outcome measures

Outcome measures
Measure
M-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Interrupted mattress suturing technique is applied to this arm. Mattress Suturing: Horizontal mattress suture in interrupted fashion
I-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Interrupted primary suturing technique is applied to this arm. Primary Suturing: Horizontal primary suture in interrupted fashion
SC-Suture
n=43 Participants
Episiotomy repair is completed until the skin closure. Continuous subcutaneous suturing technique is applied to this arm. Continuous Subcutaneous Suturing: Subcutaneous suture in continuous fashion
Pain by Visual Analog Scale (VAS)
2 VAS Score
Interval 0.0 to 10.0
2 VAS Score
Interval 0.0 to 10.0
1 VAS Score
Interval 0.0 to 8.0

Adverse Events

M-Suture

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

I-Suture

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

SC-Suture

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
M-Suture
n=43 participants at risk
Episiotomy repair is completed until the skin closure. Interrupted mattress suturing technique is applied to this arm. Mattress Suturing: Horizontal mattress suture in interrupted fashion
I-Suture
n=43 participants at risk
Episiotomy repair is completed until the skin closure. Interrupted primary suturing technique is applied to this arm. Primary Suturing: Horizontal primary suture in interrupted fashion
SC-Suture
n=43 participants at risk
Episiotomy repair is completed until the skin closure. Continuous subcutaneous suturing technique is applied to this arm. Continuous Subcutaneous Suturing: Subcutaneous suture in continuous fashion
Pregnancy, puerperium and perinatal conditions
Dehiscense
2.3%
1/43 • Number of events 1 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
2.3%
1/43 • Number of events 1 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
0.00%
0/43 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
Pregnancy, puerperium and perinatal conditions
Urinary Incontinence
4.7%
2/43 • Number of events 2 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
2.3%
1/43 • Number of events 1 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
4.7%
2/43 • Number of events 2 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
Pregnancy, puerperium and perinatal conditions
Fecal Incontinence
4.7%
2/43 • Number of events 2 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
0.00%
0/43 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.
2.3%
1/43 • Number of events 1 • 15 days
Episiotomy repair is a relatively simple procedure and is not typically associated with life-threatening mortality or long-term morbidity that would significantly impact quality of life. The most significant potential morbidity is related to anal sphincter injury; however, patients with such injuries were not included in this study.

Additional Information

Dr. Emre Kar

Çam and Sakura City Hospital

Phone: +90 (0212) 909 60 00

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place