Episiotomy repair—immediate and long‐term sequelae. A prospective randomized study of three different methods of repair

Isager-Sally, L.; Legarth, Jesper; Jacobsen, B.; Bostofte, Erik

doi:10.1111/j.1471-0528.1986.tb08650.x

Cited by 37 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A high frequency of postepisiotomy discomfort and pain has been reported in several studies (Buchan & Nicholls 1980, Kitzinger & Walters 1981Reading et al 1982, Thacker & Banta 1983, Sleep et al 1984, Isager-Sally et al 1986). There are many studies about Ep which document undesirable side effects with almost no evidence that the operation has any benefits.…”

Section: Introductionmentioning

confidence: 89%

“…The fact that E p had significantly more sutures than ST (Table 111) might have a negative effect on both healing and comfort, due to the long dissolving time of Dexon. According to Willmoth (1980) andIsager et al (1986) Dexon takes three to six weeks to disappear and Buchan & Nicolls (1980) claim that it can take as long as 60-90 days. Even Reading et al (1982) state that a large number of stitches increase the pain.…”

Section: Nsmentioning

confidence: 97%

See 1 more Smart Citation

Evaluation of Episiotomy and Spontaneous Tears of Perineum during Childbirth

Röckner

Henningsson

Wahlberg

et al. 1988

Scandinavian Caring Sciences

View full text Add to dashboard Cite

While episiotomy is a common operation during delivery little is known of its benefits compared with spontaneous tears. This study was designed to evaluate and compare episiotomies and spontaneous tears. The sample comprised 205 primiparas, 157 with episiotomies and 48 with spontaneous tears. Women with episiotomies expressed more discomfort, perineal complications were more pronounced and prolonged, and fewer were able to participate in the post-partum exercises. Furthermore, delayed healing was recorded for the episiotomy group and more analgesia was used post-partum by women with episiotomies.

show abstract

Section: Introductionmentioning

confidence: 89%

Section: Nsmentioning

confidence: 97%

Evaluation of Episiotomy and Spontaneous Tears of Perineum during Childbirth

Röckner

Henningsson

Wahlberg

et al. 1988

Scandinavian Caring Sciences

View full text Add to dashboard Cite

show abstract

“…Postpartum dyspareunia can lead to more complex sexual disorders. Hence, it is important to deal with them promptly and effectively [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Modified Fenton procedure for persistent superficial dyspareunia following childbirth

et al. 2009

View full text Add to dashboard Cite

Studies reported that 17-23% continue to experience superficial dyspareunia at 3 months after delivery and 10-14% at 12 months. Several referrals to a 'Fenton procedure' for the management of postpartum dyspareunia secondary to scar tissue have been made in the literature, but to our knowledge, the technique has not been adequately evaluated in published medical literature. In this study, 24 women underwent a Modified Fenton procedure for persistent superficial dyspareunia caused by a band of scar tissue or web of skin at the introitus. Fourteen women (60.8%) reported complete relief and moderate relief was reported in nine (39%). The results were encouraging in the majority of women treated.

show abstract

Absorbable synthetic versus catgut suture material for perineal repair

Kettle

Johanson²

1999

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Background Approximately 70% of women will experience some degree of perineal trauma following vaginal delivery and will require stitches. This may result in perineal pain and superficial dyspareunia. Objectives The objective of this review was to assess the effects of absorbable synthetic suture material as compared with catgut on the amount of short and long term pain experienced by mothers following perineal repair. Search strategy We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register. Selection criteria Randomised trials comparing absorbable synthetic (polyglycolic acid and polyglactin) with plain or chromic catgut suture for perineal repair in mothers after vaginal delivery. Data collection and analysis Trial quality was assessed independently by two reviewers. Data were extracted by one reviewer and checked by the second reviewer. Main results Eight trials were included. Compared with catgut, the polyglycolic acid and polyglactin groups were associated with less pain in first three days (odds ratio 0.62, 95% confidence interval 0.54 to 0.71). There was also less need for analgesia (odds ratio 0.63, 95% confidence interval 0.52 to 0.77) and less suture dehiscence (odds ratio 0.45, 95% confidence interval 0.29 to 0.70). There was no significant difference in long term pain (odds ratio 0.81, 95% confidence interval 0.61 to 1.08). Removal of suture material was significantly more common in the polyglycolic acid and polyglactin groups (odds ratio 2.01, 95% confidence interval 1.56 to 2.58). There was no difference in the amount of dyspareunia experienced by women. Authors’ conclusions Absorbable synthetic suture material (in the form of polyglycolic acid and polyglactin sutures) for perineal repair following childbirth appears to decrease women’s experience of short-term pain. The length of time taken for the synthetic material to be absorbed is of concern. A trial addressing the use of polyglactin has recently been completed and this has been included in this updated review.

show abstract

Episiotomy repair—immediate and long‐term sequelae. A prospective randomized study of three different methods of repair

Cited by 37 publications

References 11 publications

Evaluation of Episiotomy and Spontaneous Tears of Perineum during Childbirth

Evaluation of Episiotomy and Spontaneous Tears of Perineum during Childbirth

Evaluation of Modified Fenton procedure for persistent superficial dyspareunia following childbirth

Absorbable synthetic versus catgut suture material for perineal repair

Contact Info

Product

Resources

About