Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem, São Paulo, SP, Brazil.
Universidade de São Paulo, Escola de Artes, Ciências e Humanidades, Curso de Obstetrícia, São Paulo, SP, Brazil.
Rev Esc Enferm USP. 2020 Sep 21;54:e03588. doi: 10.1590/S1980-220X2018044203588. eCollection 2020.
To compare the intensity of pain, the healing process and women's satisfaction with the repair of perineal trauma during vaginal delivery using surgical glue or suture.
Cross-sectional study aligned with a clinical trial conducted at a maternity in Itapecerica da Serra, São Paulo. The sample consisted of women who were evaluated between 10 and 20 days after delivery. The outcomes were analyzed according to the distribution of women in the experimental group (EG: perineal repair with Glubran-2® surgical glue; n=55) and in the control group (CG: perineal repair with Vicryl® suture thread; n=55).
110 puerperal women were evaluated. There was no difference between EG and CG regarding sociodemographic and clinical-obstetric characteristics. The intensity of perineal pain, assessed by the visual numeric scale was lower among women in the EG compared to the CG (p<0.001). According to the REEDA scale, there was no significant difference in perineal healing (p=0.267) between EG and CG. The satisfaction of women with perineal repair, assessed using a five-point scale, was higher with the use of surgical glue (p=0.035).
Surgical glue showed advantages in relation to perineal pain and greater satisfaction for women compared to the use of suture. The healing process was similar for both types of repair.
比较在阴道分娩中使用外科胶水或缝线修复会阴创伤时的疼痛强度、愈合过程和女性满意度。
这是一项与圣保罗伊塔佩塞里卡达塞拉的一家产科医院进行的临床试验相一致的横断面研究。该样本由产后 10 至 20 天接受评估的女性组成。根据实验组(EG:使用 Glubran-2®外科胶水修复会阴;n=55)和对照组(CG:使用 Vicryl®缝线修复会阴;n=55)中女性的分布情况分析了结果。
共评估了 110 名产妇。EG 和 CG 在社会人口学和临床产科特征方面没有差异。使用视觉数字量表评估的会阴疼痛强度在 EG 组中低于 CG 组(p<0.001)。根据 REEDA 量表,EG 和 CG 之间的会阴愈合没有显著差异(p=0.267)。使用 5 分制评估的女性对会阴修复的满意度,使用外科胶水时更高(p=0.035)。
与缝线相比,外科胶水在会阴疼痛和女性满意度方面具有优势。两种修复类型的愈合过程相似。