{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T15:03:55Z","timestamp":1764687835496,"version":"3.37.3"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T00:00:00Z","timestamp":1576454400000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["CB 06\/02\/0011"],"award-info":[{"award-number":["CB 06\/02\/0011"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pregnancy Childbirth"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>The technique used in the repair of a perineal injury resulting from childbirth could avoid discomfort and morbidity during the postpartum period. Recent studies show inconsistent results and support the need for new research with the inclusion of new health parameters not yet studied. Therefore, this study aims to evaluate if the suture technique (continuous or interrupted) has an effect on pain and other postpartum problems, incidence of incontinence (urinary and\/or fecal), and the restart of sexual relations.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A single-blind randomized clinical trial was conducted in five hospitals in south-east Spain. The participants were primiparous women who had experienced a perineal injury during delivery (second-degree tear or episiotomy). Data was collected on sociodemographic variables, variables associated with pregnancy, labor and delivery, and the postpartum period, and outcomes during the 3\u2009months after delivery: pain, incontinence, and restart of sexual relations. Odds ratios (OR) were calculated by binary logistic regression to assess the influence of the suture type on binary outcomes and t-test used for comparing continuous outcomes. Multivariate analyses (using logistic regression -adjusted (aOR)- and analysis of covariance) were carried out to adjust for unbalanced variables after randomization.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>A total of 70 women were included in the intervention group (continuous suture) and 64 in the reference group (interrupted sutures). A negative association was observed (aOR\u2009=\u20090.39; 95% CI\u2009=\u20090.18\u20130.86) between a continuous suture and the need for analgesia at 24\u2009h postpartum. Pain experienced by the women at 24\u2009h postpartum was assessed as 4.4\u2009\u00b1\u20090.3 compared with a score of 3.4\u2009\u00b1\u20090.3 in the group with continuous sutures (<jats:italic>p<\/jats:italic>\u2009=\u20090.011). At 15\u2009days postpartum, women in the intervention group experienced less pain (aOR\u2009=\u20090.38; 95% CI\u2009=\u20090.18\u20130.80) (<jats:italic>p<\/jats:italic>\u2009=\u20090.019). Urinary sphincter incontinence was also evaluated at 15\u2009days, with 4.3% (<jats:italic>n<\/jats:italic>\u2009=\u20093) of the women in the intervention group presenting with urinary incontinence compared with 18.8% (<jats:italic>n<\/jats:italic>\u2009=\u200912) in the control group (aOR\u2009=\u20090.11; 95% CI\u2009=\u20090.03\u20130.47) (<jats:italic>P<\/jats:italic>\u2009=\u20090.003).<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>The women who had a continuous suture repair showed lower levels of pain from delivery to 3\u2009months after delivery and had a lower incidence of urinary incontinence at 15\u2009days postpartum.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Trial registration<\/jats:title>\n<jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link> NCT03825211 posted January 31, 2019 (retrospectively registered).<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12884-019-2655-2","type":"journal-article","created":{"date-parts":[[2019,12,16]],"date-time":"2019-12-16T17:03:17Z","timestamp":1576515797000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0878-8635","authenticated-orcid":false,"given":"Juan Miguel","family":"Mart\u00ednez-Galiano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Arredondo-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leticia","family":"Molina-Garcia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Maria","family":"C\u00e1mara-Jurado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Cocera-Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Rodr\u00edguez-Delgado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,12,16]]},"reference":[{"issue":"9","key":"2655_CR1","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1016\/S0304-5013(08)72329-X","volume":"51","author":"JC Melchor","year":"2008","unstructured":"Melchor JC, Bartha JL, Bellart J, Galindo A, Mi\u00f1o M, Perales A. 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BJOG. 2008;115(4):472\u20139.","journal-title":"BJOG"}],"container-title":["BMC Pregnancy and Childbirth"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-019-2655-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12884-019-2655-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12884-019-2655-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:23:04Z","timestamp":1607991784000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpregnancychildbirth.biomedcentral.com\/articles\/10.1186\/s12884-019-2655-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["2655"],"URL":"https:\/\/doi.org\/10.1186\/s12884-019-2655-2","relation":{},"ISSN":["1471-2393"],"issn-type":[{"type":"electronic","value":"1471-2393"}],"subject":[],"published":{"date-parts":[[2019,12]]},"assertion":[{"value":"8 February 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 November 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 December 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval was obtained from the Ethics Committees of the hospitals participating in the study: Comit\u00e9 de \u00c9tica de la Investigaci\u00f3n del Hospital Universitario Virgen de las Nieves de Granada (Committee of Ethics of Investigation of the University Hospital Virgen de las Nieves in Granada), Comit\u00e9 de \u00c9tica de la Investigaci\u00f3n del Hospital Torrecardenas (the Committee of Ethics of Investigation of the Torrecardenas Hospital in Almeria), Comit\u00e9 de \u00c9tica de la Investigaci\u00f3n del Complejo Hospitalario Universitario de Ja\u00e9n; (the Committee of Ethics of Investigation of the University Jaen Hospital) Comit\u00e9 de \u00c9tica de la Investigaci\u00f3n del Hospital de \u00dabeda (the Committee of Ethics of Investigation of the Ubeda Hospital) and Comit\u00e9 de \u00c9tica de la Investigaci\u00f3n del Hospital de Linares (the Committee of Ethics of Investigation of the Linares Hospital).Written informed consent was taken from all the patients before recruitment into the study. Informed consent was obtained from the women participating in the study and we followed the protocols established by the respective health centres for accessing data from medical records to carry out this type of research with the purpose of publication\/disclosure to the scientific community.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"499"}}