Resumen
Introduction: Episiotomy is defined as a surgical incision in the perineum, region between the vagina and the anus performed to increase the vaginal diameter in the delivery. Frequent complications caused by this incision are edema, hematomas, perineal pain, and episiorrhaphy dehiscence. Dehiscence is considered an uncommon obstetrical complication even though the reported statistics about it are limited rating from 0.1 to 5.5%. Objective: Main purpose of the study was to know the incidence of dehiscence during the first ten days postpartum of episiorrhaphy performed in Centro de Salud Barbara, (CSB) San Juan Sacatepéquez in the period of 2014 -2015. No statistics about it available for this complication at CSB and important since may be cause of significant sequelae in obstetrical patients. Methods: A cumulative incidence study was performed, in which the delivery files from CSB during 2014 – 2015 were included. The delivery notes of these files were revised. Afterwards, the files of the patients who had an episiotomy performed and consulted for follow-up in the first ten days postpartum for evaluation were selected. Medical records revised for the presence or absence of dehiscence of episiorrhaphy was. The data was tabulated in a Microsoft Excel Spreadsheet. Results: Total deliveries were 503 and files revised and 171 patients had an episiotomy performed (34%). From the total with episiotomy only 90 revisited during the first ten days postpartum (53%).Out of the 90 patients who revisited 6 had an episiorrhaphy dehiscence giving an incidence of 7%. Conclusions: Dehiscence incidence during first ten days postpartum was 7%.
Citas
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