Rubina Iqbal, Ayesha Intsar, Samina Khursheed, Shehneela Zafar.
Outcome of Continuous Versus Interrupted Method of Episiotomy Stitching.
Pak J Med Health Sci Jan ;6(3):759-62.

Aim: To determine the outcome of continuous versus interrupted method of episiotomy stitching. Study design: Randomized controlled trial. Setting: Study conducted at Fatima Memorial Hospital, affiliated with Fatima Memorial College of Medicine & Dentistry, Lahore. Duration: From 2nd May 2 011 t o 1st November 2011. Total duration of study was 6 months. Subjects and methods: This randomized controlled trial was conducted at Fatima Memorial Hospital Lahore over a period of 6 months. A total of 200 patients delivering singleton fetus and having episiotomy were included in this study and were divided into two groups; one with interrupted stitching of episiotomy and another with continuous stitching of episiotomy. They were followed for perineal pain on 2nd postnatal and 10th postnatal day. Results: The study revealed the pain at 48 hours postpartum and day 10 was more in interrupted group ( 83% versus 37% and 57% versus 28% respectively) which was found to be statisitically significant.(p = 0.0005) Conclusion: The continuous suturing techniques for perineal closure, compared to interrupted methods, are associated with less pain at 48 hours and 10th day postpartum.

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