Care for complex episiotomy. A case report
Section: Caso Clínico
How to quote
Villacampa Alonso M. Cuidados de una episiotomía compleja. Caso clínico. Matronas hoy. 2019; 7(3):42-6.
Authors
Marta Villacampa Alonso
Position
Especialista en Enfermería Obstétrico-ginecológica (matrona) y sexóloga. Centro de salud de Valdespartera (Zaragoza).
Contact email: mavillalonso@gmail.com
Abstract
Episiotomy wound dehiscence is one of the most frequent complications that can appear; generally, it is the consequence of an infection. Watch-and-wait and wound care are recommended for its healing.
A case report is presented with episiotomy wound dehiscence involving the muscular plane, specifically the bulbocavernous muscle, which is unusual because only the skin plane is typically involved.
Keywords:
childbirth; episiotomy; wound dehiscence; infectionantibiotics
Versión en Español
Título:
Artículo completo no disponible en este idioma / Full article is not available in this language
Bibliography
- Mullally A, Murphy D. Episiotomy. Glob. Libr. Med. 2011. Doi: 10.3843/GLOWM.1012
- Klein M. Episiotomy and the Second Stage of Labour. Canadian family physician Médecin de famille canadien. 1988; 34:2019-25.
- Longo LD. Rigidity of soft parts. Delivery effected by incision in the perineum. by R.M. Taliaferro. The stethoscopie and Virginia Medical Gazette. 1852; vol. 2, pp. 383-5. Am J Obstet Gynecol. 1976 May 1;125(1):115.
- Webb S, Sherburn M, Ismail KMK. Managing perineal trauma after childbirth. BMJ. 2014; 349:g6829.
- Marty N, Verspyck E. Déchirures périnéales obstétricales et épisiotomie: aspects techniques. RPC prévention et protection périnéale en obstétrique CNGOF. Gynécologie Obstétrique Fertilité & Sénologie 2018; 46:948-67.
- Sociedad Española de Ginecología y Obstetricia. Episiotomía [internet]. Madrid: Sociedad Española de Ginecología y Obstetricia; 2019 [citado 15 nov 2019]. Disponible en: https://sego.es/mujeres/Episistomia.pdf
- García-Lorca AI, Vigueras-Mártinez MA, Ballesteros-Meseguer C, Fernández-Alarcón MM, Carrillo-García C, Martínez-Roche ME. Tasa de episiotomía en el Hospital Clínico Universitario de la Arrixaca y factores que influyen en su práctica. Rev Esp Salud Pública. 2019; 93.
- De Anda Aguilar L, Castañeda Solís AK, Pérez Castro, Vázquez JA. Primigesta con dehiscencia de episiorrafia y fístula rectovaginal. Revista de la Facultad de Medicina de la UNAM. 2017 sept-oct; 60 (5).
- Dudley LM, KettleC, Ismail KMK. Secondary suturing compared to non-suturing for broken downperineal wounds following childbirth. Cochrane Database of Systematic Reviews. 2013;
- Gommesen D, Nohr EA, Drue HC, Qvist N, Rasch V. Obstetric perineal tears: risk factors, wound infection and dehiscence: a prospective cohort study. Archives of Gynecology and Obstetrics. 2019; 300:67-77.
- Jones K, Webb S, Mannresa M, Hodgetts-Morton V. The Incidence of wound infection and dehiscence following childbirth-related perineal trauma: A systematic review of the evidence. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2019; 240:1-8.
- Dudley L, Kettle C, Thomas PW. Perineal resuturing versus expectant management following vaginal delivery complicated by a dehisced wound (PREVIEW): a pilot and feasibility randomised controlled trial. BMJ Open 2017; 7:e012766.
- Bonet M, Ota E, Chibueze CE, Oladapo OT. Antibiotic prophylaxis for episiotomy repair following vaginal birth. Cochrane Database of Systematic Reviews. 2017; 11.