Are you sitting comfortably? Issues
around Perineal Trauma.
Title: Materials and methods for perineal
Abstract: Morbidity associated with perineal injury
related to childbirth constitutes a major health problem worldwide. There is
wide variation in practice in both suture methods and materials used for
perineal repair. Systematic reviews suggest that a continuous subcutaneous
repair method for perineal skin closure may be associated with better outcomes,
but midwives are usually taught to suture using the interrupted transcutaneous
method, deemed to be an easier suturing technique to learn. Systematic reviews
also show that synthetic absorbable materials are associated with a reduction in
perineal pain when compared to traditional catgut, but concerns remain regarding
the increased need to have sutures of this material removed postpartum. The
Methods or Materials Study (MOMS) was designed to build on previous research and
to evaluate the short and long term effects of two different suturing techniques
and suture materials used for perineal repair following childbirth. .