Risk factors for Episiotomy Wound Infection of Parturients Delivered, Nopparatrajathanee Hospital
Keywords:
Risk factor, Episiotomy wound infectionAbstract
This study was a retrospective case control design. The aim of this study was to investigate general information and risk factors for episiotomy wound Infection of parturients delivered in Nopparatrajathanee hospital. Data were collected from the medical records of Nopparatrajathanee hospital between October 1, 2014 and September 20, 2017. The subjects were 188 women. They were divided into two groups; 39 in a case group and 149 in a control group. Data were analyzed using Stata statistical software version 14. Descriptive statistics were performed to describe frequency, percentage, mean and standard deviation. Univariable Odds Ratio Regression and Multivariable Odds Ratio Regression reduced model were employed risk factors for episiotomy wound infection. Results showed that 39 (27%) women had episiotomy wound infection and 149 (79.3%) women were without episiotomy wound infection. The majority of participants were teenagers (79.8%; 150/188) and their education levels were primary school or lower (48.4%; 91/188). The majority of women with episiotomy wound infection group (61.5%; 24/39) were foreign nationals (Laos, Cambodia and Myanmar) and most of them (38.5%; 15/39) were Myanmar. The majority of women with normal perineum (66.4%; 99/149) were Thai people. Risk factors for episiotomy wound infection were 16.5 times greater in women with episiotomy (OR = 16.5, 95% CI = 2.2-125.8; p-value <0.001) and 3.4 times greater in foreign women (Laos, Cambodian and Myanmar) (OR = 3.4, 95% CI = 1.58-7.22; p-value = 0.001). In conclusion, episiotomy during vaginal birth and nationalities were risk factors for episiotomy wound infection of the deliveries in Nopparatrajathanee Hospital.
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