干旱区生态环境知识资源中心(Arid): Management of postpartum perineal wound complications

Arid

DOI	10.1097/GCO.0000000000000906
	Management of postpartum perineal wound complications
	Saad, Jaber; Painter, Caitlyn
通讯作者	Painter, C
来源期刊	CURRENT OPINION IN OBSTETRICS & GYNECOLOGY
ISSN	1040-872X
EISSN	1473-656X
出版年	2023
卷号	35 期号:6 页码:505-509
英文摘要	Purpose of review Perineal wound complications occur in up to 25% of postpartum patients. Wound complications are most common after obstetric anal sphincter injuries (OASIS) but can occur after any laceration. It is imperative that any provider caring for postpartum patients understand the best evidence-based practices to recognize and manage these complications. We present a review of the available literature on the management of postpartum perineal wound complications. Recent findings There is a paucity of new publications on the management of postpartum perineal wound complications, despite an increased emphasis on postpartum recovery in women's health. The role of topical estrogen in healing of perineal wounds was investigated in a pilot study, demonstrating that granulation tissue does express estrogen receptors, and the use of estrogen increases cell proliferation. Progression of perineal wound healing by secondary intention was evaluated in an observational study. Wound healing was delayed in 30% of women, with the initial wound area, perimeter, bacterial colonization, and OASIS being associated with delayed healing. Summary Evidence based practices on timing of follow-up, addressing wound care and analgesia, administrating antibiotics, timing secondary repair, and surgical technique all play a role in optimizing recovery and reducing morbidity in patients with postpartum perineal wound complications. Copyright (C) 2023 Wolters Kluwer Health, Inc. All rights reserved.
英文关键词	perineal wound complications postpartum wound dehiscence
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:001145486900009
WOS关键词	EARLY SECONDARY REPAIR ; 3RD-DEGREE ; BREAKDOWN ; DELIVERY ; RISK ; PAIN
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/395837
推荐引用方式 GB/T 7714	Saad, Jaber,Painter, Caitlyn. Management of postpartum perineal wound complications[J],2023,35(6):505-509.
APA	Saad, Jaber,&Painter, Caitlyn.(2023).Management of postpartum perineal wound complications.CURRENT OPINION IN OBSTETRICS & GYNECOLOGY,35(6),505-509.
MLA	Saad, Jaber,et al."Management of postpartum perineal wound complications".CURRENT OPINION IN OBSTETRICS & GYNECOLOGY 35.6(2023):505-509.