International urogynecology journal · 2025
Varying Incidence and Definitions of Infection and Wound Dehiscence After Second-Degree Tear or Episiotomy: A Systematic Review.
СтатьяСистематический обзорПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Perslev Kathrine, Klarskov Niels, Bergholt Thomas, Jangö Hanna
Аннотация
INTRODUCTION AND HYPOTHESIS: Obstetric tears are a common complication of vaginal delivery, with second-degree tears and episiotomies being the most prevalent types. Despite their prevalence, the incidence of healing complications are not clearly defined. This review aims to consolidate the current knowledge.
METHODS: This systematic review examines the risk of wound dehiscence and infection following second-degree tears and episiotomies. Literature searches were conducted across three databases: PubMed, Embase, and Cochrane. Two authors independently and blindly selected studies deemed relevant based on their title and abstract. Full-text screening was then performed, and included studies were assessed for risk of bias.
RESULTS: The review included 15 papers and found that the risk of infection ranged from 0 to 30%, and wound dehiscence from 0 to 22%. However, the review revealed substantial variation in definitions, evaluation methods, assessment timing, and preventive treatments. Studies incorporating clinical evaluations 1-3 weeks postpartum reported a higher prevalence of complications (infection 5.3%, dehiscence 9.3%) compared to those without such assessments (infection 1.8%, dehiscence 3.6%).
CONCLUSIONS: Second-degree tears and episiotomies are common, with up to 30% experiencing healing complications. This review found higher rates in studies with clinical follow-up 1-3 weeks postpartum, though precise estimates are limited by varying follow-up times and outcome definitions. This underscores the need for further research and increased clinical focus on these complications.
METHODS: This systematic review examines the risk of wound dehiscence and infection following second-degree tears and episiotomies. Literature searches were conducted across three databases: PubMed, Embase, and Cochrane. Two authors independently and blindly selected studies deemed relevant based on their title and abstract. Full-text screening was then performed, and included studies were assessed for risk of bias.
RESULTS: The review included 15 papers and found that the risk of infection ranged from 0 to 30%, and wound dehiscence from 0 to 22%. However, the review revealed substantial variation in definitions, evaluation methods, assessment timing, and preventive treatments. Studies incorporating clinical evaluations 1-3 weeks postpartum reported a higher prevalence of complications (infection 5.3%, dehiscence 9.3%) compared to those without such assessments (infection 1.8%, dehiscence 3.6%).
CONCLUSIONS: Second-degree tears and episiotomies are common, with up to 30% experiencing healing complications. This review found higher rates in studies with clinical follow-up 1-3 weeks postpartum, though precise estimates are limited by varying follow-up times and outcome definitions. This underscores the need for further research and increased clinical focus on these complications.