Infection and wound breakdown in spontaneous second‐degree perineal tears: An exploratory mixed methods study

Wiseman, Octavia; Rafferty, Anne Marie; Stockley, Jane; Murrells, Trevor; Bick, Debra

doi:10.1111/birt.12389

Cited by 21 publications

(14 citation statements)

References 33 publications

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“…A qualitative study on the experiences of women revealed that some obstetric professionals do not adequately assess or guide their patients with perineal trauma on the proper care and this lack of guidance causes continuous psychological suffering in puerperal women. Therefore, developing research in this area is important to understand the multidimensional aspects involved in perineal trauma (Wiseman et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Perineal tears sustained during vaginal birth: a cross-sectional study

Leite¹,

Caroci-Becker²,

Mascarenhas³

et al. 2021

Cent Eur J Nurs Midw

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Aim: To analyse the type, location, degree, shape and size of perineal tears sustained during normal birth. Design: Crosssectional study. Methods: The sample was composed of 100 women with perineal tears whose length and depth were measured using the tool Peri-Rule™. Bivariate and multivariate analyses were carried out using a significance level of 5% (p = 0.05). Results: Similar numbers of women sustained single or multiple tears (51% vs 49%). Perineal tears occurred more frequently in the posterior than anterior region of the perineum (80% vs 58%). In 77.5%, 20.0% and 2.5% of the women, first-, secondand third-degree tears, respectively, occurred in the posterior region of the perineum, with over half of them having straightline tears (62.5%), approximately one third having U-shaped tears (35.0%) and a minority having star-shaped tears (2.5%). Perineal oedema during labour (OR = 5.31) remained an independent predictor of second-degree tears. Infant birth weight (RC =-1.32), perineal body length (RC = 0.41) and oxytocin use (RC =-6.44) were statistically significantly associated with the size of perineal tears sustained. Conclusion: Perineal tears following normal birth were most likely of the first degree, straight-line and occurred mainly in the posterior region of the perineum. The degree, length and depth of the tears varied according to the location.

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Section: Discussionmentioning

confidence: 99%

Perineal tears sustained during vaginal birth: a cross-sectional study

Leite¹,

Caroci-Becker²,

Mascarenhas³

et al. 2021

Cent Eur J Nurs Midw

View full text Add to dashboard Cite

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“…31 Microbes implicated in wound infection include species of streptococci, staphylococci, Gramnegative enteric bacteria and anaerobes, although normal flora have also been recovered from wound swabs. 93 One case of toxic shock syndrome caused by methicillin-resistant Staphylococcus aureus (MRSA) in a perineal infection has been reported. 94 Further research is warranted particularly in the sphere of wound assessment.…”

Section: Infections Associated With Perineal Tears and Episiotomymentioning

confidence: 99%

Risk, Prevention and Management of Complications After Vaginal and Caesarean Section Birth

et al. 2020

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“…Проведені проспективні дослідження показали, що інфікування рани після епізіотомії ускладнювало перебіг післяпологового періоду у 10% жінок, тоді як рани після розриву промежини 1-го ступеня -лише у 2% випадків [8,9]. Додатковими клініко-анатомічними факторами ризику післяпологової перинеальної інфекції є розріз по серединній лінії (перінеотомія), розрив 3-го чи 4-го ступеня, «продовження» епізіотомії в розрив, неушиті розриви промежини та піхви [10][11][12].…”

Section: вступunclassified

Prevention of postpartum infectious and inflammatory complications in women with injuries of the lower parts of genital tract

Маркін

Семеніна

Шатилович

et al. 2020

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Objective of the study: evaluation of the effectiveness of antimicrobial antiseptic drug Femiclean for prevention of wound infection in postpartum women with injuries of the lower parts of genital tract.Materials and methods. A clinical and laboratory examination of 65 postpartum women was carried out. I observation group consisted of 33 women who underwent surgical treatment for perineal rupture of the II degree or episiotomy. Processing of external genitalia with disinfectant solutions (potassium permanganate, chlorhexidine) three times a day for the first 2–3 days, dry treatment of the perineum sutures with iodine solution for 5 days was performed to these patients. II observation group consisted of 32 women with a perineal rupture of II degree or episiotomy, who in addition to the above-indicated preventive and therapeutic measures were prescribed vaginal Femiclean tablets for 5 days.Effectiveness of these measures was determined by presence of the postpartum complications (infiltration and suppuration in vaginal and perineum sutures), results of vaginal discharge microscopy (before and after treatment) and cytological smears from perineum sutures region (on the 5th day of the postpartum period).Results. A more significant improvement of the vaginal bacteriological status following the treatment with Femiclean was in II group patients as compared with women in group I. The favorable course of tissue regeneration in all patients of group II, which was clinically confirmed by the absence of suppuration and dehiscence of perineal wound edges, proves the effectiveness of the dequalinium chloride drug for prevention of wound infection. One of the advantages of local drug administration is the lack of significant adverse effects on the lactobacilli pool, that is important for restoration of vaginal normocenosis in the puerperal period.Conclusion. Topical application of the antiseptic drug Femiclean provides a 3-fold reduction in infectious and inflammatory complications incidence at trauma of the lower parts of genital tract.

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Infection and wound breakdown in spontaneous second‐degree perineal tears: An exploratory mixed methods study

Cited by 21 publications

References 33 publications

Perineal tears sustained during vaginal birth: a cross-sectional study

Perineal tears sustained during vaginal birth: a cross-sectional study

Risk, Prevention and Management of Complications After Vaginal and Caesarean Section Birth

Prevention of postpartum infectious and inflammatory complications in women with injuries of the lower parts of genital tract

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