ABSTRACT
The technique of repair and choosing the way of suturing are likely the most important factors on the morbidity associated with perineal trauma, so this research was done to evaluate perineal pain in two methods of episiotomy repair [with and without skin suture] in primiparous women who gave birth at Hazrat Zeinab Hospital in 1999 to January 2000. In this clinical trial research, 54 healthy peimiparous women with term pregnancies requiring surgical repair of episiotomy following a normal spontaneous delivery, were chosen for experimental and control groups randomly. In experimental group after repairing vaginal mucus and perineal muscles, fascia was repaired with continuous sutures not to leave skin edges more than 0.5 cm apart and skin was left without suture, but in control group skin was repaired with interrupted sutures.perineal pain was measured in all women by VAS at first 24 hours and 5[th], 10[th], 21[st] days postpartum. Perineal pain at first 24 hours postpartum [P<0.0001], 5[th] day [P<0.0001], 10[th] day [P = 0.0004] and 21[st] day [P = 0.0018] was less in 1experimental group. There were no significant difference in wound healing between two groups. Episiotomy repair without skin sutures reduces postpartum perineal pain. In this method wound healing was not postponed, and there were no apparent disadvantages like infection and wound breakdown observed