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Secondary suturing compared to non-suturing for broken down perineal wounds following childbirth

  1. Lynn M Dudley1,*,
  2. Christine Kettle2,
  3. Khaled MK Ismail3

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 25 SEP 2013

Assessed as up-to-date: 4 SEP 2013

DOI: 10.1002/14651858.CD008977.pub2


How to Cite

Dudley LM, Kettle C, Ismail KMK. Secondary suturing compared to non-suturing for broken down perineal wounds following childbirth. Cochrane Database of Systematic Reviews 2013, Issue 9. Art. No.: CD008977. DOI: 10.1002/14651858.CD008977.pub2.

Author Information

  1. 1

    University Hospital of North Staffordshire, Maternity Centre, Stoke-on-Trent, Staffordshire, UK

  2. 2

    Staffordshire University, Beaconside, Staffordshire, UK

  3. 3

    University of Birmingham, School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, Birmingham, UK

*Lynn M Dudley, Maternity Centre, University Hospital of North Staffordshire, Newcastle Road, Stoke-on-Trent, Staffordshire, ST4 6QG, UK. lynn.dudley@uhns.nhs.uk.

Publication History

  1. Publication Status: New
  2. Published Online: 25 SEP 2013

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Christensen 1994 {published data only (unpublished sought but not used)}
  • Christensen S, Anderson G, Detlefsen GU, Hansen PK. Treatment of episiotomy wound infections. Incision and drainage versus incision, curettage and sutures under antibiotic cover; a randomised trial [Behandling af episiotomisarinfektion. Incision og droenage versus incision, curettage og sutur under antibiotikadoekke--en randomiseret undersogelse]. Ugeskrift for Laeger 1994;156(34):4829-33.
Monberg 1987 {published data only}

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Arona 1995 {published data only}
  • Arona AJ, Al-Marayati L, Grimes D, Ballard C. Early secondary repair of third and fourth degree perineal lacerations after outpatient wound preparation. Obstetrics and Gynaecology 1995;86(2):294-6.
Hankins 1990 {published data only}
Ramin 1992 {published data only}
Uygur 2004 {published data only}

References to ongoing studies

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Dudley 2012 {published data only}
  • Dudley L, Kettle C, Carter P, Thomas P, Ismail K. Perineal resuturing versus expectant management following vaginal delivery complicated by a dehisced wound (PREVIEW): protocol for a pilot and feasibility randomised controlled trial. BMJ Open 2012; Vol. 2, issue 4:e001458.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
ACOG 2006
  • American College of Obstetrics and Gynecology. ACOG Practice Bulletin No. 71: Episiotomy. Obstetrics & Gynecology 2006;107(4):957-62.
Al-Mufti 1997
Bick 2010
  • Bick D. A Delphi survey of women who have experienced perineal trauma. Personal communication 2010.
Boyle 2006
  • Boyle M. Wound Healing in Midwifery. Oxford: Radcliffe, 2006.
Clements 2001
  • Clements RV. Risk Management and Litigation in Obstetrics. London: RSM press/Royal College of Obstetricians and Gynaecologists, 2001.
CMACE 2011
  • Centre for Maternal and Child Enquiries (CMACE). Saving Mothers’ Lives Reviewing Maternal Deaths to Make Motherhood Safer: 2006-2008. The Eighth Report on Confidential Enquiries into Maternal Deaths in the UK. BJOG: an international journal of obstetrics and gynaecology 2011;118(Suppl 1):1-203.
Flanagan 1996
  • Flanagan M. A practical framework for wound assessment 1:Physiology. British Journal of Nursing 1996;5(22):1391-7.
Gallop 2002
  • Gallop DG, Freedman MA, Meguiar RV, Freedman SN, Nolan TE. Necrotizing fasciitis in gynecologic and obstetric patients: a surgical emergency. American Journal of Obstetrics and Gynecology 2002;187(2):305-10.
Ganapathy 2008
Goldaber 1993
Gould 2007
  • Gould D. Perineal tears and episiotomy. Nursing Standard 2007;21(52):41-6.
Higgins 2011
  • Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
Kettle 2002
  • Kettle C, Hills RK, Jones P, Darby L, Gray R, Johanson R. Continuous versus interrupted perineal repair with standard or rapidly absorbed sutures after spontaneous vaginal birth: a randomised controlled trial. Lancet 2002;359(9325):2217-23.
Kettle 2012
Koelbl 2009
  • Koelbl H, Nitti V, Baessler K, Salvatore S, Sultan A, Yamaguchi O. Pathophysiology of urinary incontinence, faecal incontinence and pelvic organ prolapse. In: Abrams P, Cardozo L, Khoury, Wein A editor(s). Incontinence. 4th Edition. Plymouth: Health Publication Ltd, 2009:293-5.
Lewis 2007
  • Lewis G. Confidential Enquiry into Maternal and Child Health. Why Mothers Die: the Seventh Report of Confidential Enquiries into Maternal Deaths in the United Kingdom 2003-2005. London: RCOG, 2007.
McCandlish 1998
NICE 2006
  • NICE. Routine Postnatal Care for Women and their Babies. NICE Clinical Guideline, Number 37. London: NICE, 2006.
Norton 2002
  • Norton C, Christiansen J, Butler U, Harari D, Nelson RL, Pemberton J, et al. Anal incontinence. In: Abrams P, Cardozo L, Khoury, Wein A editor(s). Incontinence. 2nd Edition. Plymouth: Health Publication Ltd, 2002:985-1044.
Perkins 2008
  • Perkins E, Tohill S, Kettle C, Bick D, Ismail KM. Women’s views of important outcomes following perineal repair. BJOG: an international journal of obstetrics and gynaecology 2008;115(Suppl 1):1.179, 132.
Ramin 1994
RCOG 2004
  • Royal College of Obstetricians and Gynaecologists. Methods and Materials used in Perineal repair. Clinical Guideline Number 23. London: RCOG, 2004.
RCOG 2007
  • Royal College of Obstetricians and Gynaecologists. The management of third and fourth degree perineal tears. Clinical Guideline Number 29. London: RCOG, 2007.
RevMan 2011 [Computer program]
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). Version 5.1. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2011.
Rotas 2007
  • Rotas M, McCalla S, Liu C, Minkoff H. Methicillin-resistant Staphylococcus aureus necrotizing pneumonia arising from an infected episiotomy site. Obstetrics & Gynecology 2007;109(2 Pt 2):533-6.
Sleep 1991
  • Sleep J. Perineal care: a series of five randomised controlled trials. In: Robinson S, Thompson AM editor(s). Midwives Research and Childbirth. Vol. 2, London: Chapman and Hall, 1991:199-251.
Steen 2007
  • Steen M. Perineal tears and episiotomy: how do wounds heal?. British Journal of Midwifery 2007;15(5):273-80.
Sultan 1999
  • Sultan AH. Obstetric perineal injury and anal incontinence. Clinical Risk 1999;5:193-6.
Tharpe 2008
Thomas 1990
  • Thomas S. Wound Management and Dressings. London: Pharmaceutical Press, 1990.
Tortora G 1996
  • Tortora G, Grabowski S. Principles of Anatomy and Physiology. 8th Edition. New York: Harper Collins College Publications, 1996.
Wagner 2000
Williams 2006

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to ongoing studies
  4. Additional references
  5. References to other published versions of this review
Dudley 2011
  • Dudley LM, Kettle C, Ismail KMK. Secondary suturing compared to non-suturing for broken down perineal wounds following childbirth. Cochrane Database of Systematic Reviews 2011, Issue 2. [DOI: 10.1002/14651858.CD008977]