The Method of Surgical Restoration of the Perineum in Women During Vaginal Delivery

Relevance One of topical issues of modern obstetrics is diagnostics and treatment of women with an injury of the perineum during childbirth. Damage of soft tissues of the birth channel is seen at each 3-5 women in labor, thus the frequency of ruptures of a perineum can reach 15% of cases. For the purpose of restoration of anatomic and functional integrity of a perineum during childbirth various techniques of an episiorraphy are applied. Unfortunately, results of using each of them are not always favorable and are accompanied by inconsistency of muscles of a pelvic bottom and leads to development of serious gynecologic pathology – genital prolapse. The purpose of the study The purpose of the research work was development of the method for surgical restoration of the perineum, allowing to reduce the frequency of failures after an episiotomy or a spontaneous rupture of a perineum during childbirth. Materials and methods In research work 236 women was included, who had injury of perineum during delivery. 106 women were carried out by a traditional technique and entered into the control group. The main group was made by 130 women who are treated with offered technique for restoration of perineum. Results and their discussion Complaints of patients of the main group for pain in a perineum met by 1,3 times less than in control group. More favorable healing of a perineum wound in women of the main group allowed to reduce the need for anesthetics and antiinflammatory therapy, and also application of courses of physiotreatment. In the main group, unlike control, cases of a hematoma of a vagina and inconsistency of suture on a perineum weren't revealed. In the remote terms dyspareunia at women of the main group was met twice less than in the control.

Vaginal delivery, episiotomy, episiorraphy