الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Obstetric perineal wound infection is a complication of perineal trauma during vaginal delivery, wound infection was defined as either the presence of purulent discharge or a wound abscess according to the Center for Disease Control (CDC) definition for episiotomy site infection, perineal wound infection causes pain and discomfort, and reduces a woman’s ability to enjoy the experience of motherhood. Aim of the work: The aim of the present study is to evaluate the incidence of perineal wound infections in postpartum women with sutured perineal tears, and to identify the associated risk factors of infection. Method: The study recruited women patients who delivered vaginally at the Department of Obstetrics & Gyneacology, Minia University hospital during the period from November 2019 to October 2020 and experienced obstetric perineal wound either spontaneous or surgically made whatever its degree and that needed to be sutured. All those patients contacted by telephone after one week and another after 3 weeks and were asked about signs of infection such as pain, swelling, feeling discomfort or pus drainage .Results: over this study year, 1464 of 5232 women (27.9%) sustained perineal tears, including episiotomies that were sutured. A total of 14% (n=200) women were contactable by telephone 21 days after delivery, and provided information on markers of perineal wound infections. Individual markers of perineal wound infection were perineal pain, wound dehiscence , purulent discharge. Of the 200 women who responded to the telephone query, 100% (n=161) reported symptoms of perineal pain and redness, 20.5(n=8) reported purulent discharge, 28.2% (n=11) reported wound dehiscence. Of the 200 women who responded, 19.5% (n=39) had evidence of perineal wound infection based on the study’s definition of wound infection, namely two or more of the following parameters: perineal pain, purulent discharge and wound dehiscence. Pain and discomfort were the only complication appeared in all cases with a ratio at 100%. multible vaginal examination, prolonged PROM, prolonged labor and instrumental delivery have high statistically significance with infection. Conclusion: This study demonstrated that 1 in 3-4 women had developed perineal wound infection after vaginal delivery. Instrumental deliveries, episiotomy and prolonged rupture of membranes may predispose women to perineal wound infection. There is an urgent need for further research on this neglected area of aftercare during the puerperium, with an aim to minimize morbidity.