Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case-Control Study.
case–control studies
lacerations
perineal tear
risk factors
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
21 Apr 2023
21 Apr 2023
Historique:
received:
09
03
2023
revised:
07
04
2023
accepted:
20
04
2023
medline:
28
4
2023
pubmed:
28
4
2023
entrez:
28
4
2023
Statut:
epublish
Résumé
We conducted a retrospective case-control study in patients presenting a perineal tear (second degree or higher) or episiotomy complicated by wound breakdown during maternity stay to identify risk factors associated with wound breakdown in early postpartum with a view to improving the quality of care. We collected ante- and intrapartum characteristics and outcomes at the postpartum visit. In all, 84 cases and 249 control subjects were included. In univariate analysis, primiparity, absence of history of vaginal delivery, a longer second phase of labour, instrumental delivery, and a higher degree of laceration emerged as risk factors for early perineal suture breakdown postpartum. Gestational diabetes, peripartum fever, streptococcus B, and suture technique did not emerge as risk factors for perineal breakdown. Multivariate analysis confirmed that instrumental delivery (OR = 2.18 [1.07; 4.41],
Identifiants
pubmed: 37109371
pii: jcm12083036
doi: 10.3390/jcm12083036
pmc: PMC10146046
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
Br J Nurs. 2012 Mar 8-21;21(5):S28, S30, S32-5
pubmed: 22489339
Gynecol Obstet Fertil Senol. 2018 Dec;46(12):893-899
pubmed: 30391283
Female Pelvic Med Reconstr Surg. 2016 Jul-Aug;22(4):276-9
pubmed: 27054788
Birth. 2019 Mar;46(1):80-89
pubmed: 30136338
Obstet Gynecol. 2000 Oct;96(4):622-4
pubmed: 11004370
Am J Obstet Gynecol. 2013 Apr;208(4):327.e1-6
pubmed: 23262251
J Am Coll Clin Wound Spec. 2014 Mar 24;4(4):84-91
pubmed: 26199879
J Obstet Gynaecol. 2008 Aug;28(6):608-13
pubmed: 19003656
Am J Obstet Gynecol. 2003 Jul;189(1):255-60
pubmed: 12861171
Lancet. 2019 Jun 15;393(10189):2395-2403
pubmed: 31097213
Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:1-8
pubmed: 31202973
Rev Lat Am Enfermagem. 2008 Mar-Apr;16(2):272-9
pubmed: 18506347
Obstet Gynecol. 2015 May;125(5):1088-1093
pubmed: 25932836
J Perinatol. 2018 Dec;38(12):1625-1630
pubmed: 30337732
BMJ Open. 2017 Feb 10;7(2):e013008
pubmed: 28188152
Am J Obstet Gynecol. 2006 Sep;195(3):755-9
pubmed: 16949409
J Gynecol Obstet Hum Reprod. 2019 Sep;48(7):455-460
pubmed: 30553051
J Minim Invasive Gynecol. 2006 Sep-Oct;13(5):457-62
pubmed: 16962532
Gynecol Obstet Fertil Senol. 2018 Dec;46(12):913-921
pubmed: 30385355
Arch Gynecol Obstet. 2019 Jul;300(1):67-77
pubmed: 31004221
Am J Obstet Gynecol. 2003 Apr;188(4):1063-7
pubmed: 12712111
Cochrane Database Syst Rev. 2013 Sep 25;(9):CD008977
pubmed: 24065561
J Reprod Med. 2004 Apr;49(4):306-10
pubmed: 15134158
Womens Health (Lond). 2017 Aug;13(2):34-40
pubmed: 28681676
J Obstet Gynaecol. 2022 Jul;42(5):1543-1546
pubmed: 35166164
World J Surg. 2004 Mar;28(3):321-6
pubmed: 14961191
Am J Obstet Gynecol. 1992 Oct;167(4 Pt 1):1104-7
pubmed: 1415399