PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of jroyalcgpracBJGP at RCGPBJGP at PubMed CentralJ R Coll Gen Pract at PubMed CentralRCGP homepage
 
J R Coll Gen Pract. 1980 May; 30(214): 297–300.
PMCID: PMC2159530

Pain after episiotomy — a comparison of two methods of repair

Abstract

Episiotomy is a very common operation but little is known of its short-term or long-term morbidity.

A prospective study was designed to record postpartum perineal discomfort and to investigate the presence and persistence of dyspareunia following episiotomy in 140 primigravidae. A comparison was made between those whose perineal skin was sutured with a subcuticular polyglycolic acid (`Dexon') stitch and those sutured with interrupted black silk stitches.

Patients sutured with subcuticular `Dexon' had significantly less perineal discomfort on the third, fourth, and fifth postpartum days. Patients who had epidural analgesia in labour had significantly more pain during the first five postpartum days irrespective of the suture material used.

The timing of first coitus after delivery did not influence the presence or persistence of dyspareunia. Dyspareunia was commoner and lasted longer in patients sutured with `Dexon' and it was also commoner in older primigravidae irrespective of the suture technique.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (651K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Anscombe AR, Hira N, Hunt B. The use of a new absorbable suture material (polyglycolic acid) in general surgery. Br J Surg. 1970 Dec;57(12):917–920. [PubMed]
  • Beard R, Boyd I, Sims C. A trial of polyglycolic acid and chromic catgut sutures in episiotomy repair. Br J Clin Pract. 1974 Dec;28(12):409–410. [PubMed]
  • Beischer NA. The anatomical and functional results of mediolateral episiotomy. Med J Aust. 1967 Jul 29;2(5):189–195. [PubMed]
  • Crawford JS. The second thousand epidural blocks in an obstetric hospital practice. Br J Anaesth. 1972 Dec;44(12):1277–1287. [PubMed]
  • Daume E. Erfahrungen mit einem synthetischen resorbierbaren Nahtmaterial (Polyglykolsäure) bei gynäkologischen und geburtshilflichen Operationen. Geburtshilfe Frauenheilkd. 1972 Aug;32(8):702–707. [PubMed]
  • FLEMING AR. Complete perineotomy. Obstet Gynecol. 1960 Aug;16:172–174. [PubMed]
  • Howat RC, Lewis GD. The effect of bromelain therapy on episiotomy wounds--a double blind controlled clinical trial. J Obstet Gynaecol Br Commonw. 1972 Oct;79(10):951–953. [PubMed]
  • Livingstone E, Simpson D, Naismith WC. A comparison between catgut and polyglycolic acid sutures in episiotomy repair. J Obstet Gynaecol Br Commonw. 1974 Mar;81(3):245–247. [PubMed]
  • O'LEARY JL, O'LEARY JA. THE COMPLETE EPISIOTOMY; ANALYSIS OF 1224 COMPLETE LACERATIONS, SPHINCTEROTOMIES, AND EPISIPROCTOTOMIES. Obstet Gynecol. 1965 Feb;25:235–240. [PubMed]
  • McCue JD, Komaroff AL, Pass TM, Cohen AB, Friedland G. Strategies for diagnosing vaginitis. J Fam Pract. 1979 Sep;9(3):395–402. [PubMed]

Articles from The Journal of the Royal College of General Practitioners are provided here courtesy of Royal College of General Practitioners