Risk Factors for Peripartum Wound Dehiscence
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 11
Abstract
ABSTRACT Introduction: Wound Dehiscence (WD) following Vaginal Delivery (VD) or Cesarean Delivery (CD) causes considerable discomfort to the woman, leading to significant physical, emotional and financial burden. The rate of Perineal Wound Dehiscence (PWD) is relatively low and more common with instrumental delivery. However, there is minimal information on the incidence and risk factors causing WD, especially for PWD. Aim: To assess the incidence and risk factors of peripartum wound dehiscence. Materials and Methods: This retrospective study was conducted in a large tertiary care centre where there were 14759 deliveries. 4671 women had caesarean deliveries and 10,088 women had the vaginal delivery. There were 86 cases (0.8%) of WD in the VD group and 95 (2%) in the CD group. These cases were compared with twice as many controls. Results: Induction of Labour (IOL) and BMI >30 kg/m2 were more common in cases compared to controls in the CD group. However, on multivariate analysis, this association was not seen. IOL, meconium stained liquor (MSAF), instrumental delivery and use of episiotomy was more common among cases than controls in the VD group. IOL did not show up as an independent risk factor on multivariate analysis. Conclusion: An association between IOL, primigravidae, instrumental delivery and MSAF was seen with peripartum WD.
Authors and Affiliations
Beena Kingsbury, Swati Rathore, Hepsy Chelliah, Vaibhav Londhe, Santosh Joseph Benjamin, Jiji Mathews
Keywords
Related Articles
- EP ID EP526055
- DOI 10.7860/JCDR/2018/37763.12232
- Views 74
- Downloads 0
Pigmented Trichoblastoma of Nose: An Unusual Occurrence
Nevus sebaceus of Jadassohn is a congenital tumour affecting the scalp and face. It is usually presented as a pigmented patch or plaque. It is a complex cutaneous hamartoma which involves pilosebaceous follicle, epidermi...
Correspondence: Home Based Blood Pressure Monitoring in Indian Setting: A Consensus Document
Letter to Editor
Changing Trend of Clinical and Epidemiological Profile of Lung Cancer – Experience from a Tertiary Care Centre in Southern India
ABSTRACT Introduction: There has been a renewed interest in lung cancer epidemiology owing to changing trend in histology with a relative increase in adenocarcinoma worldwide. However, such a trend was not observed acro...
Primary Intraarticular and Extraarticular Synovial Chondromatosis at Foot and Ankle: A Case Report and Review of Literature
ABSTRACT Synovial chondromatosis is a benign condition in which the synovial tissue undergoes metaplastic changes into cartilagenous or osteocartilagenous bodies within joints, bursae or tendon sheaths. Knee, hip, should...
Candida Albicans Infection Masquerading as a Soft Tissue Tumour Diagnosed by Fine Needle Aspiration Cytology
A 60-year-old male, diabetic presented with a soft tissue mass over the right forearm of 15 days duration. The swelling was 5 x 3 cm and a clinical diagnosis of neurofibroma was made. Fine Needle Aspiration Cytology (FNA...