Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, Colombia
Introduction: Severe perineal tears (SPT) are complications that arise during childbirth. These can result in rectal fistulas and fecal and urinary incontinence, leading to medium- to long-term morbidity that requires proper diagnosis, management, and follow-up. Objective: To determine the incidenc...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
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Universidad de Antioquia
2024-01-01
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| Series: | Iatreia |
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| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/349987 |
| _version_ | 1797324025957974016 |
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| author | Jiménez-Arbeláez, Ana Lucia Giraldo-Giron, Paulina Arias-Zapata, Catalina Campo-Campo, María Nazareth Echavarria-Restrepo, Luis Guillermo Cuesta-Castro, Diana Paola |
| author_facet | Jiménez-Arbeláez, Ana Lucia Giraldo-Giron, Paulina Arias-Zapata, Catalina Campo-Campo, María Nazareth Echavarria-Restrepo, Luis Guillermo Cuesta-Castro, Diana Paola |
| author_sort | Jiménez-Arbeláez, Ana Lucia |
| collection | DOAJ |
| description | Introduction: Severe perineal tears (SPT) are complications that arise during childbirth. These can result in rectal fistulas and fecal and urinary incontinence, leading to medium- to long-term morbidity that requires proper diagnosis, management, and follow-up.
Objective: To determine the incidence of SPT and related immediate complications (within the first 48 hours) and early complications (within the first three months) following delivery.
Methodology: This article reports a descriptive cohort study on patients with SPT during obstetric care in a reference center in Medellín, Colombia, between 2015–2017. Medical records were reviewed, and clinical data and immediate and early complications were recorded during pelvic floor control appointments.
Results: A total of 14,247 vaginal births were attended. The incidence of SPT was 1.6%, with 1.3% being of third-degree and 0.3%, of fourth-degree. Of these, 66.5% had instrument-assisted vertex delivery, 81.9% had an episiotomy; the median expulsion period was 19 minutes, and 3% had shoulder dystocia. Immediate complications in patients with SPTs included: suture dehiscence and wound infection (0.85%), dehiscence (0.85%), and wound infection (0.42%). 18.4% attended the urogynecological control in the third month. Among them, 38.2% had at least one complication, mainly fecal and flatus incontinence (16.3% and 13.9%, respectively).
Conclusions: The incidence of SPT and immediate postpartum complications were infrequent. Postpartum follow-up strategies should be improved to identify and manage medium-term complications in a timely manner. |
| first_indexed | 2024-03-08T05:44:23Z |
| format | Article |
| id | doaj.art-05a2345b628d4085aea6cd0af7ea7372 |
| institution | Directory Open Access Journal |
| issn | 0121-0793 2011-7965 |
| language | Spanish |
| last_indexed | 2024-03-08T05:44:23Z |
| publishDate | 2024-01-01 |
| publisher | Universidad de Antioquia |
| record_format | Article |
| series | Iatreia |
| spelling | doaj.art-05a2345b628d4085aea6cd0af7ea73722024-02-05T14:42:46ZspaUniversidad de AntioquiaIatreia0121-07932011-79652024-01-01371142510.17533/udea.iatreia.210Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, ColombiaJiménez-Arbeláez, Ana Lucia0https://orcid.org/0000-0003-1402-6255Giraldo-Giron, Paulina 1https://orcid.org/0000-0003-3237-8975Arias-Zapata, Catalina2https://orcid.org/0000-0001-9474-1026Campo-Campo, María Nazareth 3https://orcid.org/0000-0002-3979-2282Echavarria-Restrepo, Luis Guillermo 4https://orcid.org/0000-0001-6714-3784Cuesta-Castro, Diana Paola5https://orcid.org/0000-0002-0100-5781Universidad Pontificia Bolivariana, Medellín, ColombiaClínica Universitaria Bolivariana, Medellín, ColombiaClínica Universitaria Bolivariana, Medellín, ColombiaClínica Universitaria Bolivariana, Medellín, ColombiaClínica Universitaria Bolivariana, Medellín, ColombiaUniversidad Pontificia Bolivariana, Medellín, ColombiaIntroduction: Severe perineal tears (SPT) are complications that arise during childbirth. These can result in rectal fistulas and fecal and urinary incontinence, leading to medium- to long-term morbidity that requires proper diagnosis, management, and follow-up. Objective: To determine the incidence of SPT and related immediate complications (within the first 48 hours) and early complications (within the first three months) following delivery. Methodology: This article reports a descriptive cohort study on patients with SPT during obstetric care in a reference center in Medellín, Colombia, between 2015–2017. Medical records were reviewed, and clinical data and immediate and early complications were recorded during pelvic floor control appointments. Results: A total of 14,247 vaginal births were attended. The incidence of SPT was 1.6%, with 1.3% being of third-degree and 0.3%, of fourth-degree. Of these, 66.5% had instrument-assisted vertex delivery, 81.9% had an episiotomy; the median expulsion period was 19 minutes, and 3% had shoulder dystocia. Immediate complications in patients with SPTs included: suture dehiscence and wound infection (0.85%), dehiscence (0.85%), and wound infection (0.42%). 18.4% attended the urogynecological control in the third month. Among them, 38.2% had at least one complication, mainly fecal and flatus incontinence (16.3% and 13.9%, respectively). Conclusions: The incidence of SPT and immediate postpartum complications were infrequent. Postpartum follow-up strategies should be improved to identify and manage medium-term complications in a timely manner.https://revistas.udea.edu.co/index.php/iatreia/article/view/349987fecal incontinenceobstetric delivery/instrumentationperineum/injuriesperineum/surgery |
| spellingShingle | Jiménez-Arbeláez, Ana Lucia Giraldo-Giron, Paulina Arias-Zapata, Catalina Campo-Campo, María Nazareth Echavarria-Restrepo, Luis Guillermo Cuesta-Castro, Diana Paola Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, Colombia Iatreia fecal incontinence obstetric delivery/instrumentation perineum/injuries perineum/surgery |
| title | Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, Colombia |
| title_full | Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, Colombia |
| title_fullStr | Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, Colombia |
| title_full_unstemmed | Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, Colombia |
| title_short | Incidence and Immediate and Early Complications of Severe Perineal Tears during Childbirth in a Reference Obstetric Care Institution in Medellín, Colombia |
| title_sort | incidence and immediate and early complications of severe perineal tears during childbirth in a reference obstetric care institution in medellin colombia |
| topic | fecal incontinence obstetric delivery/instrumentation perineum/injuries perineum/surgery |
| url | https://revistas.udea.edu.co/index.php/iatreia/article/view/349987 |
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