A Comparative Study of Continuous Versus Interrupted Suturing of Episiotomy

Abstract

The role of convention repair of episiotomy has come under scrutiny in recent years.This procedure has nowbeen modified from interrupted suturing earlier to continuous stitching of episiotomy.Aim &objectives :-This study was done to evaluate the patient comfort & post-op complications betweenconventional repair & continuous repair of episiotomy .Methodology:-This prospective study was conducted in the department of Gyne & obstr of Rama medicalcollege, Hapur from July 2018 to June 2019 on 200 patients who were randomly divided into two groupsof 100 patients each . In Group A (study group), episiotomy repair was performed by continuous stitching &group B underwent conventional interrupted suturing repair. Post operatively the efficacy of both proceduresanalysed on the basis of outcome in form of pain & other complications.Result :- Majority of patients of episiotomy were in age group of 18 to 26 years. Mean gestational periodwas 38.4+0.6 & 38.4+0.5 for the study & control group. The mean suturing time was also significantlyshorter for study group.Pain score was significantly less after 48 hrs. Resumption of sexual activity wassignificantly shorter in study group.Conclusion :- The success rate was significantly better in continuous repair group in the form of lessprocedure time, suture material , postpartum pain & early resumption of sexual activity