Comparison Between Maternal Complications of Chromic Catgut and Vicryl Rapid Sutures Used for Episiotomy Repair

Huma Ijaz; Abida  Bilal; Erum  Parvaiz; Zaira  Shafiq; Amel Amjad; Ammara Waqar

doi:10.51253/pafmj.v76i3.13694

Authors

Huma Ijaz Department of Obstetrics and Gynecology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Abida Bilal Department of Obstetrics and Gynecology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Erum Parvaiz Department of Obstetrics and Gynecology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Zaira Shafiq Department of Obstetrics and Gynecology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Amel Amjad Department of Obstetrics and Gynecology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan
Ammara Waqar Department of Obstetrics and Gynecology, Combined Military Hospital, Gujranwala/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76i3.13694

Keywords:

Episiotomy, Chromic Catgut Suture, Pain Score, Vaginal Delivery, Vicryl Rapide, Wound Infection

Abstract

Study Design: Randomized controlled trial

Study place and Duration: Department of Obstetrics and Gynecology, CMH Gujranwala form July 2024 to January 2025.

Methodology: Total 202 patients fulfilling the selection criteria were enrolled from labor room and underwent episiotomy. At end of procedure, females were randomly divided in two groups. In group A, females underwent suturing by using vicryl rapide. In group A, females underwent suturing by using chromic catgut. After 24 hours of delivery, females were examined or pain score. After 7 days, females were examined for wound infection, inflammation and dehiscence. All this information will be recorded in proforma. Data was entered and analyzed in SPSS 25.

Results: In this study, mean age of females in vicryl rapide group was 26.77 ± 5.47 years and in chromic catgut group was 26.72 ± 5.34 years. After 24 hours of episiotomy, mean pain score of females was 2.31 ± 1.07 in vicryl rapide group and in chromic catgut group was 3.91 ± 1.41. After 7 days of episiotomy, mean pain score of females was 0.99 ± 0.77 in vicryl rapide group vs 1.95 ± 0.84. Wound infection was noted in 3 (3.0%) vs. 13 (12.9%), inflammation at wound site in 6 (5.9%) vs. 24 (23.8%) and wound dehiscence was noted in 2 (2.0%) vs. 20 (19.8%) females (p-value <0.05).

Conclusion: It has been concluded that vicryl rapide is more effective for episiotomy wound and lead to less wound complications and pain as compared to chromic catgut.

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