Comparison of the Efficacy (In Terms of No Pain) of Continuous and Interrupted Suturing in Episiotomy Repair

Abstract

Objective: To compare the efficacy (in terms of no pain) of continuous and interrupted suturing in episiotomy repair.

Materials & Methods: This randomized controlled trial was done at department of Obstetrics & Gynaecology, Civil Hospital, Bahawalpur during a period of six months from 7^th November 2019 to 6^th May 2020. Women with singleton pregnancy women who underwent episiotomy to facilitate the delivery of the head in the labour room, 20 to 40 years of age were included. Group 1 included the women in which continuous suturing was done while group 2 included the cases in which interrupted suturing was done. In both groups, episiotomy repair was done by the researcher herself. All patients were advised Tab. Diclofenac sodium 50mg 1xBD post-operatively and efficacy was noted after 48 hours by VAS scale.

Results: The mean age of women in group 2 was 27.48 ± 3.59 years and in group 1 was 27.36 ± 3.52 years. Majority of the patients 75 (75.0%) were between 20 and 30 years of age. The mean gestational age of group 2 was 39.48 ± 1.27 weeks and in group 1 was 39.38 ± 1.28 weeks. Efficacy (in terms of no pain) was seen in 18 (36.0%) patients in Group 2 (interrupted group) while in Group 1 (continuous), it was seen in 36 (72.0%) patients with p-value of 0.0001.

Conclusion: continuous suturing of episiotomy repair was observed to be the most effective in terms of significant less post-operative pain compared to interrupted suturing.