Beneficios de la sutura continua de la lesión perineal en la adaptación a la maternidad

  1. María Ferrer-Gil 1
  2. Margarita Manresa-Lamarca 2
  3. Eva Font-Montpeat 3
  4. María Ángeles Serveto-Perna 3
  5. Miguel Ángel Escobar-Bravo 4
  1. 1 Hospital de Alcañiz, Alcañiz, Teruel, España
  2. 2 Hospital Clínic Barcelona, Barcelona, España
  3. 3 Hospital Universitario Arnau de Vilanova, Lérida, España
  4. 4 Facultad de Enfermería y Fisioterapia, Lérida, España
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Revista:
Enfermería clínica

ISSN: 1130-8621

Ano de publicación: 2023

Volume: 33

Número: 1

Páxinas: 38-47

Tipo: Artigo

DOI: 10.1016/J.ENFCLI.2022.07.001 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Enfermería clínica

Objetivos de desarrollo sostenible

Resumo

Objective To assess the effect of the continuous suture technique of the perineal wound on the capacity and functional recovery of women when carrying out their self-care routine, the care of the newborn (NB), breastfeeding (BF) and Activities of Daily Living (ADLs), both basic (ABVD) and instrumental (IADL), during the postpartum period. Methods Non-randomised clinical trial with blinding allocation to study groups, carried out at the Arnau de Vilanova tertiary hospital in Lérida. The intervention group received continuous suture for perineal repair and the control group discontinuous suture. The study population was women with eutocic delivery and second-degree perineal tears or episiotomy. Three postpartum assessment were performed (48hours, 7-10 days and one month). Results 126 women with eutocic delivery and second degree perineal tears or episiotomy participated (n=126); 64 sutured with continuous technique (intervention group) and 62 with discontinuous technique (control group). At 48hours postpartum, 85% of women from the continuous suture technique group were able to perform their self-care and 46,7% of them had recovered functionally. At 7-10 days, 96,7% of women with continuous suturing had acquired the ability to perform instrumental activities of daily living and 60% had recovered functionally compared to 68,3% and 15% respectively of women with discontinuous suturing (P<.001). At 7-10 days, 100% of women with continuous suturing achieved functional recovery for newborn care and 80% for breastfeeding and in the control group 81,7% and 30% respectively (P<.001 and P<.001). Conclusions Women who undergo the continuous suture technique restore their ability and functional recovery to perform activities of daily living earlier and with less pain than women with discontinuous suturing, adapting more quickly and satisfactorily way to motherhood.

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Fonte de datos: Dialnet