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| Risk factors of incision infection after lateral perineotomy of pregnant women with gestational diabetes mellitus and the correlation with pain score |
| Anhui Taihe County People's Hospital, Taihe Hospital Affiliate to Wannan Medical College, Fuyang, Anhui Province, 236600 |
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Abstract To analyze the risk factors of incision infection after lateral perineotomy during delivery of pregnant women with gestational diabetes mellitus (GDM), and to study the correlation between the infective risk factors of the women and their pain score. Methods: A retrospective analysis was used to collect the clinical data of 10 pregnant women with GDM and perineotomy incision infection (in observation group) from January 2020 to December 2022, and 51 women with GDM but without episiotomy incision infection during the same period were selected in control group. Univariate and multivariate analysis were used to analyze the independent risk factors of the incision infection after lateral episiotomy of the women with GDM. The visual analogue scale (NRS) was used to observe the pain degree of the women in the two groups before and in 3 days after delivery. The correlation between the risk factors of infection after incision of the women and their pain score was analyzed, and the correlation was verified by Spearman correlation coefficient. Results: Univariate and multifactorial analyses showed that the longer second stage of labor, the emergency delivery, the premature rupture of membranes, and the amniotic fluid contamination of the women were the independent risk factors of their incision infection, while the glycemic control status reached to the standard, the application of antimicrobial drugs, and the continuous suture of incision of the women were the protective factors of their incision infection (all P＜0.05). Spearman's correlation coefficient analysis showed that the premature rupture of membranes, the duration of second stage of labor≥3h, and the amniotic fluid contamination of the women with GDM were significantly positively correlated with their postpartum pain, but the glycemic control status reached to the standard, the application of antimicrobial drugs, and the continuous suture of incision of the women with GDM were significantly negatively correlated with their postpartum pain (all P＜0.05). Conclusion: The longer second stage of labor, the emergency delivery, the premature rupture of membranes, the glycemic control status reached to the standard, the application of antimicrobial drugs, and the suture mode of incision of the women with GDM are all the related factors of their incision infection after lateral episiotomy, which will affect the postpartum perineal pain, so based on these factors, it is of great clinical significance to develop the preventive measures to reduce the incision infection and decrease the postpartum perineal pain degree.
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