Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study
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 car...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-04-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/12/8/3036 |
| _version_ | 1797604868235460608 |
|---|---|
| author | Amandine Puissegur Marie Accoceberry Marion Rouzaire Bruno Pereira Marie Herault Clément Bruhat Amélie Delabaere Denis Gallot |
| author_facet | Amandine Puissegur Marie Accoceberry Marion Rouzaire Bruno Pereira Marie Herault Clément Bruhat Amélie Delabaere Denis Gallot |
| author_sort | Amandine Puissegur |
| collection | DOAJ |
| description | 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], <i>p</i> = 0.03) and a longer second phase of labour (OR = 1.72 [1.23; 2.42], <i>p</i> = 0.001) were risk factors for early perineal suture breakdown. |
| first_indexed | 2024-03-11T04:52:51Z |
| format | Article |
| id | doaj.art-4c7d388a82324a98b75dce9650565c0c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:52:51Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-4c7d388a82324a98b75dce9650565c0c2023-11-17T19:51:59ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01128303610.3390/jcm12083036Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control StudyAmandine Puissegur0Marie Accoceberry1Marion Rouzaire2Bruno Pereira3Marie Herault4Clément Bruhat5Amélie Delabaere6Denis Gallot7Obstetrics and Gynaecology Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceObstetrics and Gynaecology Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceCIC 1405 CRECHE Unit, INSERM, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceBiostatistics Unit (DRCI), CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceObstetrics and Gynaecology Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceObstetrics and Gynaecology Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceObstetrics and Gynaecology Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceObstetrics and Gynaecology Department, CHU Clermont-Ferrand, 63000 Clermont-Ferrand, FranceWe 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], <i>p</i> = 0.03) and a longer second phase of labour (OR = 1.72 [1.23; 2.42], <i>p</i> = 0.001) were risk factors for early perineal suture breakdown.https://www.mdpi.com/2077-0383/12/8/3036perineal tearlacerationscase–control studiesrisk factors |
| spellingShingle | Amandine Puissegur Marie Accoceberry Marion Rouzaire Bruno Pereira Marie Herault Clément Bruhat Amélie Delabaere Denis Gallot Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study Journal of Clinical Medicine perineal tear lacerations case–control studies risk factors |
| title | Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study |
| title_full | Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study |
| title_fullStr | Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study |
| title_full_unstemmed | Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study |
| title_short | Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study |
| title_sort | risk factors for perineal wound breakdown in early postpartum a retrospective case control study |
| topic | perineal tear lacerations case–control studies risk factors |
| url | https://www.mdpi.com/2077-0383/12/8/3036 |
| work_keys_str_mv | AT amandinepuissegur riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy AT marieaccoceberry riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy AT marionrouzaire riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy AT brunopereira riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy AT marieherault riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy AT clementbruhat riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy AT ameliedelabaere riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy AT denisgallot riskfactorsforperinealwoundbreakdowninearlypostpartumaretrospectivecasecontrolstudy |