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Abstract
Objective: To determine the prevalence of wound infection and dehiscence of perineal tears and its associated factors among women giving vaginal delivery without prophylactic antibiotics.
Material and methods: A prospective cohort study involving 1.051 women giving vaginal delivery without prophylactic antibiotic was carried-out at Hung Vuong Hospital from March to June, 2022. Post-partum women with first to second degree of perineal tears were followed-up until 9 days of post-partum. We evaluated the symptoms of perineal wound infection, dehiscence, and other complications such as serous discharge, swelling, redness, and pain at the 3rd and 9th day of post-partum. CDC criteria was applied for diagnosing episiotomy infection cases.
Results: At day 9 of post-partum, the prevalence of wound infection was 1.62%. Other complications such as serum discharge, wound dehiscence, swelling were 1.93%, 2.8%, and 3.29%, respectively. Episiotomy and gestational diabetes were found to be the significant factors associated with perineal wound infection, aOR = 13.79; 95% CI:1.67-114.04 and aOR = 4.24; 95% CI:1.61-11.74, respectively. Episiotomy and forceps delivery were found to be the significant factors associated with complication perineal wound with aOR were 7.92 and 4.2, respectively.
References
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