An interventional study of Suture of perineum and hemostatis by digital compression in Parturition and Delivery, Obstetric, sponsored by Centre Hospitalier Universitaire de Besancon. Completed at 1 site in France. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-08-03.
Sponsored by Centre Hospitalier Universitaire de Besancon · Not applicable, Interventional, and Treatment
During childbirth, the recommendations have evolved to a restriction of episiotomy. This reduction results in an increase of superficial vaginal and perineal tears. These lesions are usually routinely sutured which often causes the onset of discomfort and pain in the immediate postpartum period. Gordon showed, in 1998, improved comfort and pain when the skin was not sutured perineal tears during the second degree. Others have compared different techniques in the same indications (separated points running suture, biological adhesive) without demonstrated impact. These studies were not interested in isolated perineal tears or first degree or the application of a simple manual compression with or without a suture according to the result of hemostasis.
Our objective is to evaluate the possibility of not suture the perineum of the first degree. The use of suture only result of bleeding not yielding to manual compression.
Our approach is guided by the principles of "primum non nocere" and discerning about the dogmatic systematization.
Centre Hospitalier Universitaire de Besancon is the lead sponsor of 439 studies on the registry; 97 are open to participants now.
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Exclusion Criteria:
The suture of the perineum is headed by obtaining hemostasis by digital compression 5 minutes; If hemostasis is obtained, the perineum will not be sutured. In case of failure of hemostasis, suture of the perineum will be realized.
Procedure: Suture of perineum · Procedure: hemostatis by digital compression
systematic suture tears following current recommendations
Procedure: Suture of perineum
suture of the tear to obtain hemostasis
Digital compression of the tear to obtain hemostasis
Composite Outcome Measure for success defined by : - a negligible pain, - satisfactory healing, - no bleeding and infection of the perineum
Time frame: ten day after childbirth
Plan to share: Undecided
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This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.
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Centre Hospitalier Universitaire de Besancon