Occurrence of wound infections after perineal tears and perineal assessment in postpartum care: A prospective cohort study
Fuente:
Wiley Open Access
Gespeichert in:
| Hauptverfasser: | , , , , |
|---|---|
| Format: | Artículo Open Access |
| Veröffentlicht: |
Wiley
2026
|
| Schlagworte: | |
| Online-Zugang: | |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| _version_ | 1867011995507621890 |
|---|---|
| author | Jeanette Risløkken Marthe Dalevoll Macedo Kari Bø Marie Ellström Engh Franziska Siafarikas |
| author_facet | Jeanette Risløkken Marthe Dalevoll Macedo Kari Bø Marie Ellström Engh Franziska Siafarikas Jeanette Risløkken Marthe Dalevoll Macedo Kari Bø Marie Ellström Engh Franziska Siafarikas |
| collection | Wiley Open Access |
| contents | Occurrence of wound infections after perineal tears and perineal assessment in postpartum care: A prospective cohort study Jeanette Risløkken Marthe Dalevoll Macedo Kari Bø Marie Ellström Engh Franziska Siafarikas Acta Obstetricia et Gynecologica Scandinavica Abstract Introduction There is considerable variation in reported perineal wound infection occurrences and limited knowledge of postpartum follow‐up for perineal injuries. The primary aim of this study was to assess the occurrence of symptoms of perineal wound infections and infections requiring medical intervention within the first 30 days postpartum. The secondary aim was to investigate perineal assessment by healthcare providers in postpartum care. Material and Methods This single‐center cohort study was conducted between October 2020 and October 2022. In this analysis, participants with perineal tears and episiotomies following vaginal deliveries were included. Women were contacted via telephone seven to 10 days postpartum and asked about symptoms for infection recommended by the “Surgical Site Infection Surveillance Service.” At 3 months postpartum, participants reported via questionnaire on receiving medical interventions for wound infection and whether a healthcare provider inspected their perineal tear. Results The study sample comprises a total of 748 primi‐ and multiparous women (58.3% primipara, 41.7% multipara). Sixteen participants (2.2%) reported wound infection symptoms. Wound infections requiring medical interventions were identified in seven women (1.1%), all of whom were primipara. This included five cases with an episiotomy and two cases with a second‐degree tear. Half of the participants had their perineal tear inspected during the 6‐week follow‐up visit. Depending on tear category, between 25% and 72% of women who did not undergo an inspection would have preferred one. Conclusions In our population, symptoms of perineal wound infection were 2.2% and infections requiring medical intervention were 1.1%. Half of the participants received a perineal tear inspection at the 6‐week follow‐up visit. 10.1111/aogs.70262 http://creativecommons.org/licenses/by-nc/4.0/ |
| doi_str_mv | 10.1111/aogs.70262 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_aogs_70262 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc/4.0/ |
| publishDate | 2026 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Occurrence of wound infections after perineal tears and perineal assessment in postpartum care: A prospective cohort study Jeanette Risløkken Marthe Dalevoll Macedo Kari Bø Marie Ellström Engh Franziska Siafarikas Acta Obstetricia et Gynecologica Scandinavica Occurrence of wound infections after perineal tears and perineal assessment in postpartum care: A prospective cohort study Jeanette Risløkken Marthe Dalevoll Macedo Kari Bø Marie Ellström Engh Franziska Siafarikas Acta Obstetricia et Gynecologica Scandinavica Abstract Introduction There is considerable variation in reported perineal wound infection occurrences and limited knowledge of postpartum follow‐up for perineal injuries. The primary aim of this study was to assess the occurrence of symptoms of perineal wound infections and infections requiring medical intervention within the first 30 days postpartum. The secondary aim was to investigate perineal assessment by healthcare providers in postpartum care. Material and Methods This single‐center cohort study was conducted between October 2020 and October 2022. In this analysis, participants with perineal tears and episiotomies following vaginal deliveries were included. Women were contacted via telephone seven to 10 days postpartum and asked about symptoms for infection recommended by the “Surgical Site Infection Surveillance Service.” At 3 months postpartum, participants reported via questionnaire on receiving medical interventions for wound infection and whether a healthcare provider inspected their perineal tear. Results The study sample comprises a total of 748 primi‐ and multiparous women (58.3% primipara, 41.7% multipara). Sixteen participants (2.2%) reported wound infection symptoms. Wound infections requiring medical interventions were identified in seven women (1.1%), all of whom were primipara. This included five cases with an episiotomy and two cases with a second‐degree tear. Half of the participants had their perineal tear inspected during the 6‐week follow‐up visit. Depending on tear category, between 25% and 72% of women who did not undergo an inspection would have preferred one. Conclusions In our population, symptoms of perineal wound infection were 2.2% and infections requiring medical intervention were 1.1%. Half of the participants received a perineal tear inspection at the 6‐week follow‐up visit. 10.1111/aogs.70262 http://creativecommons.org/licenses/by-nc/4.0/ |
| title | Occurrence of wound infections after perineal tears and perineal assessment in postpartum care: A prospective cohort study |
| topic | Acta Obstetricia et Gynecologica Scandinavica |
| url | https://obgyn.onlinelibrary.wiley.com/doi/10.1111/aogs.70262 |