ABSTRACT
Background: Puerperium is strictly defined as the period of confinement during and just after birth. It is the period following childbirth during which body tissues specially the genital organ reverts back approximately to the pre-pregnant state both anatomically and physiologically. At some stages some of these well-orchestrated changes can go away resulting in complications which can endanger life.Methods: Retrospective c study was conducted in Department of Obstetrics and Gynecology of M.G.M. Medical College and M. Y. Hospitals, Indore. The cases were selected randomly from the patient who were admitted in M.Y. Hospital who had either a vaginal or caesarean delivery (both in our institution as well as outside institution) during the study period, irrespective of age, parity and registration status. Data was recorded in predesigned coded case report forms and statistical analysis was performed.Results: Authors found that puerperal pyrexia was the most common complication, accounting for 38.96% of total cases. The second most common complication was perineal pain affecting 28.15% of cases. The other complication was wound gaping/discharge (11.71%), mastitis and breast abscess (6.81%), secondary postpartum hemorrhage (5.33%), episiotomy gaping and infection (4%), perineal hematoma (0.59%), wound dehiscence (0.3%) and other rare causes accounted for 4.15% of the complication.Conclusions: Puerperal period is as important as antenatal period. Anaemia, suboptimal personal hygiene as well as improper sterilization can resulted in severe health hazards such as septicemia, disseminated intravascular coagulation as well as death. So, risk factor should be treated vigorously.
ABSTRACT
Introduction: The concept of using surface adhesive tapes to close surgical wounds antedates the development of satisfactory suturing techniques. But previously available wound adhesive tapes lacked adequate adhesive properties and led to the occurrence of associated skin irritation or maceration. Methods: A total of 30 patients who presented to Department of Surgery for elective and emergency surgical procedures were randomly selected, after getting informed consent. Wound adhesive tapes were used for skin closure. The patients were followed up in the immediate post-operative, 1 week, 4 weeks, and 3 months post-operative. Any complication such as wound gaping, wound infection, or skin irritation were noted. Cosmetic results were evaluated using modified Hollanders scale. Results: In our study, 90% of patients were male and rest were females. Wound infection occurred in 6.7% of the patients. This is increased compared to reports from older studies which is about 3-4% wound infection in sutured wounds is about 2-11% according to available literature. Wound infection rate in our study is within this rate and is comparable to that of suture closure. There was a significant association between the incidence of wound infection and presence of diabetes mellitus (DM). 2 out of 4 patients with Type 2 DM developed wound infection. There was no association between occurrence of wound infection and age of the patient or type of incision. The relative risk of sub-optimal closure in sutured wounds is 1-8%. In our study, the rate of suboptimal closure is 6.7% which falls within this range. There is a significant association between occurrence of wound infection and final cosmetic outcome. Conclusion: Wound adhesive tapes are effective alternatives for suture closure. Added advantages of reduced time consumption and cost of tapes compared to sutures were observed in our study.