[Causes for healing complications in episiotomy]

Abstract

The aim of the study is to look for the most probable causes of disturbed healing of episiotomy. The study is prospective and includes 33 early puerperal women without data of infection disease or risk factor like: PPROM, vulvovaginitis, chorioamnionitis, diabetes, obesity and others. The cases are divided in two groups: the first group are 12 women with normal healing of episiotomy; the second group 21 cases with wound healing complications, divided in three subgroups: 13 with edematous and erythematous edges; 5 with superficial dehiscence in me aria of introitus vaginae; 3 with entirely open episiotomies.

Results: For a period of 5 years the mean rate of entirely open episiotomy is 1.07%. According our data the process of episiotomy healing is not influence by: age of me women, parity, duration of labor, the weight of the neonate. For the episiotomy outcome is important the experience of the obstetrician. The shorter time between ROM during labor and delivery and use of cat-gut stitches on the skin of the perineum show tendency of poor healing of the episiotomy.