دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: Risk Factors for Perineal Wound Breakdown in Early Postpartum: A Retrospective Case–Control Study
المؤلفون: Puissegur, Amandine, Accoceberry, Marie, Rouzaire, Marion, Pereira, Bruno, Herault, Marie, Bruhat, Clément, Delabaere, Amélie, Gallot, Denis
المساهمون: Service Obstétrique CHU Clermont-Ferrand, CHU Estaing Clermont-Ferrand, CHU Clermont-Ferrand-CHU Clermont-Ferrand, Centre d'Investigation Clinique CHU Clermont-Ferrand (CIC 1405), Institut National de la Santé et de la Recherche Médicale (INSERM)-Direction de la recherche clinique et de l’innovation CHU Clermont-Ferrand (DRCI), Unité de Biostatistiques CHU Clermont-Ferrand, Direction de la recherche clinique et de l’innovation CHU Clermont-Ferrand (DRCI), Institut Pascal (IP), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA)-Institut national polytechnique Clermont Auvergne (INP Clermont Auvergne), Université Clermont Auvergne (UCA)-Université Clermont Auvergne (UCA), Génétique, Reproduction et Développement (GReD), Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA)
المصدر: ISSN: 2077-0383 ; Journal of Clinical Medicine ; https://hal.science/hal-04350514Test ; Journal of Clinical Medicine, 2023, 12 (8), pp.3036. ⟨10.3390/jcm12083036⟩.
بيانات النشر: HAL CCSD
MDPI
سنة النشر: 2023
المجموعة: HAL Clermont Auvergne (Université Blaise Pascal Clermont-Ferrand / Université d'Auvergne)
مصطلحات موضوعية: perineal tear, lacerations, case–control studies, risk factors, [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
الوصف: International audience ; 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.
نوع الوثيقة: article in journal/newspaper
اللغة: English
العلاقة: hal-04350514; https://hal.science/hal-04350514Test; https://hal.science/hal-04350514/documentTest; https://hal.science/hal-04350514/file/jcm-12-03036.pdfTest
DOI: 10.3390/jcm12083036
الإتاحة: https://doi.org/10.3390/jcm12083036Test
https://hal.science/hal-04350514Test
https://hal.science/hal-04350514/documentTest
https://hal.science/hal-04350514/file/jcm-12-03036.pdfTest
حقوق: info:eu-repo/semantics/OpenAccess
رقم الانضمام: edsbas.18EB59DA
قاعدة البيانات: BASE
الوصف
DOI:10.3390/jcm12083036