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Article Dans Une Revue Journal of Clinical Medicine Année : 2023

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

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], 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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Origine : Publication financée par une institution

Dates et versions

hal-04350514 , version 1 (05-04-2024)

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Amandine Puissegur, Marie Accoceberry, Marion Rouzaire, Bruno Pereira, Marie Herault, et al.. Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study. Journal of Clinical Medicine, 2023, 12 (8), pp.3036. ⟨10.3390/jcm12083036⟩. ⟨hal-04350514⟩
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