This vertical compression suture (figure 3, page 7) is performed by placing two to four vertical #2 chromic sutures directly through the anterior to posterior uterine wall, tying the suture on the fundus using a 3-throw technique to minimize slippage of the first knot.
The doctor did a cesarean and dictated that the uterine incision was reapproximated with "O chromic suture." Amazingly, the student typed that the uterine incision was reapproximated with "old crummy suture." Probably not a good vaginal birth after cesarean candidate!
(17) In a study of 144 cases of wound breakdown following a perineal laceration repair, the major risk factors for wound breakdown were episiotomy (aOR, 11.1), smoking (aOR, 6.4), midwife repair of laceration (aOR, 4.7), use of chromic suture (aOR, 3.9), and operative vaginal delivery (aOR, 3.4).