Perineal suture practices. Are they up to date with the evidence based medicine data: A local experience into a university maternity?
Delivery, Obstetric
/ methods
Episiotomy
Evidence-Based Medicine
Female
Hospitals, University
Humans
Midwifery
/ statistics & numerical data
Obstetrics
/ methods
Perineum
/ injuries
Practice Patterns, Physicians'
/ statistics & numerical data
Pregnancy
Prospective Studies
Suture Techniques
/ education
Perineal sutures
Perineal tears
Teaching, practices evaluation
Journal
Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588
Informations de publication
Date de publication:
May 2020
May 2020
Historique:
received:
17
04
2019
revised:
28
08
2019
accepted:
05
09
2019
pubmed:
10
9
2019
medline:
12
3
2021
entrez:
10
9
2019
Statut:
ppublish
Résumé
To investigate the prevalence of perineal suture techniques then to identify the factors influencing suturing technique choices. Prospective, observational, monocentric study over 20 weeks in a university hospital. A personal questionnaire was completed by medical practitioners performing perineal sutures: years of experience, training attendance, suturing techniques usually used for degrees 1 and 2 tears/episiotomies. For each delivery with perineal tear/episiotomy, the professional answered on the type of suture performed and the reasons for choosing this technique. We distinguished discontinuous sutures (several stitches/continuous locking stitch) from continuous sutures (single thread, single continuous locking stitch). We evaluated the prevalence of the techniques used in our center as well as the factors associated with the choice of technique, then we described the characteristics of the professionals who responded to the survey and their suturing habits. Among the 401 perineal sutures, 45.4% of them were continuous (n = 182), discontinuous sutures were more performed. Discontinuous sutures were more common in 1st and 2nd degree tears. Residents/obstetricians performed significantly more continuous sutures than midwives. Whatever the type of suture technique used (continuous or discontinuous), professionals sutured in the way they felt most suitable to the degree of tearing/episiotomy. Fifty-one percent of midwives are trained in continuous technique, compared with 81% of residents/obstetricians. Midwives required training in 70% of cases and 64% of residents. It appears necessary to disseminate continuous suture techniques and to promote their training in order to improve our practices.
Identifiants
pubmed: 31499280
pii: S2468-7847(19)30229-6
doi: 10.1016/j.jogoh.2019.101634
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
101634Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare that they have no link of interest.