Risk factors for poor perineal outcome after operative vaginal delivery

Wilkie, Gianna; Saadeh, Michael; Robinson, Julian N.; Little, Sarah E

doi:10.1038/s41372-018-0252-2

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…In agreement with the literature, primiparity [14] and the absence of a history of vaginal delivery [6] were found to be predisposing factors in our study. Likewise for the degree of tearing and instrumental delivery, which have been found to be risk factors in most studies evaluating scar breakdown [6,13,14,22,23].…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have been published on the risk factors for perineal tears [7][8][9][10][11][12], but there are relatively few on the risk factors for wound breakdown postpartum owing to the rarity of this complication. The risk factors for perineal wound breakdown described in the literature to date are nulliparity, smoking, episiotomy, operative delivery (especially forceps [13]), third-and fourth-degree laceration, wound repair by a midwife, infection, use of chromic sutures, BMI > 35 kg/m 2 , estimated blood loss > 500 mL and postpartum narcotic use [6,[13][14][15][16][17]. By contrast, the use of a prophylactic dose of intravenous amoxicillin and clavulanic acid after operative vaginal delivery has been shown to reduce the risk of perineal wound breakdown [18].…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study

Puissegur

Accoceberry

Rouzaire

et al. 2023

JCM

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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], p = 0.03) and a longer second phase of labour (OR = 1.72 [1.23; 2.42], p = 0.001) were risk factors for early perineal suture breakdown.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study

Puissegur

Accoceberry

Rouzaire

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…Wilkie et al 75 found that chorioamnionitis was a risk factor for higher-order lacerations, while forceps deliveries, episiotomy and the need for narcotic pain medications postpartum were risk factors for perineal wound breakdown.…”

Section: Childbirth-related Perineal Trauma and Infectionmentioning

confidence: 99%