GAMBARAN TINGKAT PENGETAHUAN IBU NIFAS TENTANG PENCEGAHAN INFEKSI LUKA PERINEUM DI KLINIK KRISTINA SIDIKALANG TAHUN 2021

Background:Rupture is an injury to the perineum caused by natural tissue damage due to pressure on the fetal head or shoulders during delivery. Postpartum infection (puerpuralis) is an infection of the genitalia after childbirth, which is characterized by an increase in temperature to 38ºC or more for 2 days in the first 10 days after delivery, excluding the first 24 hours. Postpartum infection includes all inflammation caused by entry of germs. or bacteria into the genital tract at the time of delivery and postpartum. Objective:The specific purpose of this study was to describe the level of knowledge of the mother about the prevention of perineal wound infection at the Kristina Clinic in 2021. This study used Non Probability Technique Sampling which is the total sampling method. The samples in this study were all postpartum mothers, both those who experienced rupture and those who did not at Kristina Clinic 2021, as many as 20 people. The research was conducted by distributing questionnaires to all postpartum mothers. The results: obtained based on the knowledge of postpartum mothers about the prevention of perineal wound infection based on education, it can be seen from the majority of respondents having good knowledge with 11 people (55.0%) and the minority having knowledge less with the number of 7 people (35.0%). Conclusion: It is hoped that midwives will be able to conduct postnatal visits for 6 weeks in order to monitor the healing process of perineal wounds in patients to avoid infection of perineal wounds and provide education on how to prevent perineal wound infections and the signs and dangers of perineal wounds.

Risk Factors for Postpartum Maternal Infection Following Spontaneous Vaginal Delivery Complicated by Chorioamnionitis

Objective Guidelines for the management of chorioamnionitis include intrapartum antibiotics, while postpartum antibiotics after spontaneous vaginal delivery (SVD) are reserved high-risk women. Our objective is to describe the incidence of and risk factors for postpartum infection after SVD complicated by chorioamnionitis. Study Design This is a retrospective study of SVDs with clinically diagnosed chorioamnionitis at a single center. The primary outcome was a composite of postpartum infection. Women who developed the primary outcome were compared with those who did not using bivariate statistics. Regression models were developed to estimate adjusted odds of outcomes. Results In this cohort, 346 women underwent SVD complicated by chorioamnionitis. Of these, 23 (6.6%) developed postpartum infections (endometritis n = 7, urinary tract infection/pyelonephritis n = 6, sepsis n = 4, and perineal wound infection n = 6). Receipt of antibiotics intra- or postpartum did not differ between groups, but women with postpartum infections were more likely to deliver prior to 32 weeks (17.4 vs. 4.9%, p = 0.04). When controlling for antibiotic use, delivery at < 32 weeks was associated with 3.8-fold increased (95% confidence interval: 1.07–13.7) odds of postpartum infection. Conclusion Postpartum infections occur in ∼1/15 women delivering vaginally with chorioamnionitis, with those who deliver at < 32 weeks' gestation being at increased risk.