A novel method based on the application of paraffin oil assisted delivery in reducing the degree of perineal laceration and cosmetic suture in the perineal wound.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 5
Abstract
Objective: To study the effect of paraffin oil assisted new delivery method on reducing perineal laceration and cosmetic suture in the perineal wound. Methods: Observation group consists of 102 parturients received in our department from January to December 2018. All patients were natural birth cases. They were divided into two groups according to the stochastic numerical table method, with 51 cases in the control and also 51 cases in the experimental group. The parturients in the control group gave delivery by traditional methods, and the perineal wounds were sutured with 2-0 absorbable microtrellis and No.1 black silk thread. The parturients in the experimental group were treated with paraffin oil, new assistant delivery method plus cosmetic suture (3-0 suture of mucosa and muscle layer, 4-0 suture of skin). The duration of labor, the degree of perineal laceration, the rate of the lateral perineal dehiscence, the degree of pain (24 and 48 hours after the operation), the healing of incision and the incidence of inflammatory reaction were compared between the two groups. Results: In the experimental group, there were 23 cases of grade I perineal laceration, 12 cases of grade II perineal laceration, no puerpera with lateral perineal dehiscence, no puerpera with grade III or IV severe laceration, and the perineal integrity rate reached 31.37%. Compared with the control group, the degree of perineal laceration in the experimental group was significantly lower (P < 0.05), and the rate of lateral perineal dehiscence was also significantly lower (P < 0.05). There was no significant difference in the duration of labor between the two groups (P > 0.05). The degree of pain and wound healing in the experimental group were significantly better than those in the control group (P < 0.05). The incidence of inflammatory reaction in the experimental group was 5.88%, which was substantially lower than that in the control group (P < 0.05), and the degree of wire knot reaction was lesser than that in the control group (P < 0.05). Conclusion: Paraffin oil assisted new delivery method can reduce the degree of perineal laceration, and the application of a cosmetic suture in the perineal wound has a significant effect. It can considerably reduce the degree of perineal laceration, relieve pain, promote wound healing and reduce inflammatory reaction. There is no scar or mark after healing, and the appearance is beautiful. It also dramatically shortens the hospitalization time of patients, and the clinical popularization and application price.
Authors and Affiliations
Lili Feng
Keywords
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