Blunt suture needle use in laceration and episiotomy repair at vaginal delivery

被引:5
|
作者
Mornar, Sara J. [1 ,2 ]
Perlow, Jordan H. [2 ]
机构
[1] Univ Chicago Hosp, Dept Obstet & Gynecol, Chicago, IL 60637 USA
[2] Banner Good Samaritan Med Ctr, Dept Obstet & Gynecol, Phoenix, AZ USA
关键词
blood-borne pathogens; blunt needle; needlestick injuries; prevention;
D O I
10.1016/j.ajog.2007.09.051
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: By surveying obstetricians regarding the use of blunt suture needles for laceration and episiotomy repair, the purpose of this study was to determine whether blunt suture needles represent a safe and effective alternative to sharp needles. STUDY DESIGN: Blunt suture needles were made available at our institution for repairs at vaginal delivery. Participating physicians indicated their personal history of needlestick injuries and rated the blunt suture needle after completing the repair. Categorical variables were analyzed using Fisher's exact test and a 2-tailed P < .05 was considered significant. RESULTS: Attending and resident physicians completed 80 surveys, and 83% reported previous needlestick injuries. Blunt suture needles were rated as excellent or good by 92.5% (95% confidence interval 84.6 to 96.5%). No needlestick injuries occurred. CONCLUSION: In an effort to reduce needlestick injuries, the use of blunt suture needles is safe and effective for repairs at vaginal delivery.
引用
收藏
页码:E14 / E15
页数:2
相关论文
共 50 条
  • [31] Cohort study of maternal and neonatal morbidity in relation to use of episiotomy at instrumental vaginal delivery
    Youssef, R
    Ramalingam, U
    Macleod, M
    Murphy, DJ
    [J]. BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2005, 112 (07) : 941 - 945
  • [32] Antibiotic prophylaxis for episiotomy repair following vaginal birth
    Bonet, Mercedes
    Ota, Erika
    Chibueze, Chioma E.
    Oladapo, Olufemi T.
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2017, (11):
  • [33] Is It Possible to Never Perform Episiotomy During Vaginal Delivery?
    Amorim, Melania M.
    Franca-Neto, Antonio H.
    Leal, Nicole V.
    Melo, Fabiana O.
    Maia, Sabina B.
    Alves, Janio N.
    [J]. OBSTETRICS AND GYNECOLOGY, 2014, 123 : 38S - 38S
  • [34] ASSOCIATION OF EPISIOTOMY AND DELIVERY POSITION WITH DEEP PERINEAL LACERATION DURING SPONTANEOUS DELIVERY IN NULLIPAROUS WOMEN
    BORGATTA, L
    PIENING, SL
    COHEN, WR
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1989, 160 (02) : 294 - 297
  • [35] Obstetric mandibular fracture during episiotomy in vaginal delivery
    Akbas, H
    Keskin, M
    Guneren, E
    Eroglu, L
    Belet, N
    [J]. ANNALS OF PLASTIC SURGERY, 2003, 50 (04) : 440 - 441
  • [36] Use of uterine fundal pressure maneuver at vaginal delivery and risk of severe perineal laceration
    Philippus H. J. Hoogsteder
    Johanna M. A. Pijnenborg
    [J]. Archives of Gynecology and Obstetrics, 2010, 281 : 579 - 580
  • [37] Is there a benefit to episiotomy at spontaneous vaginal delivery? A natural experiment
    Bansal, RK
    Tan, WM
    Ecker, JL
    Bishop, JT
    Kilpatrick, SJ
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1996, 175 (04) : 897 - 901
  • [38] Use of uterine fundal pressure maneuver at vaginal delivery and risk of severe perineal laceration
    Hoogsteder, Philippus H. J.
    Pijnenborg, Johanna M. A.
    [J]. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 2010, 281 (03) : 579 - 580
  • [39] Use of uterine fundal pressure maneuver at vaginal delivery and risk of severe perineal laceration
    Koji Matsuo
    Yasuhiko Shiki
    Masato Yamasaki
    Koichiro Shimoya
    [J]. Archives of Gynecology and Obstetrics, 2009, 280 : 781 - 786
  • [40] Inconclusive results from the study evaluating the use of blunt needles during obstetric laceration repair
    Sibanda, Thabani
    [J]. AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2009, 201 (01) : E19 - E20