SynthesisInternational urogynecology journal2026
Varying Incidence and Definitions of Infection and Wound Dehiscence After Second-Degree Tear or Episiotomy: A Systematic Review.
Synthesis in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Association Between Systemic Inflammatory Response Index at Labour Admission and Episiotomy Wound Dehiscence After Vaginal Delivery.Diagnostics (Basel, Switzerland) · 2026Article
- Risk factors associated with deep perineal wound dehiscence after second-degree perineal tears or episiotomy.Acta obstetricia et gynecologica Scandinavica · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisObstetric tears are a common complication of vaginal delivery, with second-degree tears and episiotomies being the most prevalent types. Despite their prevalence, the incidence of healing complications are not clearly defined. This review aims to consolidate the current knowledge.
methodsThis systematic review examines the risk of wound dehiscence and infection following second-degree tears and episiotomies. Literature searches were conducted across three databases: PubMed, Embase, and Cochrane. Two authors independently and blindly selected studies deemed relevant based on their title and abstract. Full-text screening was then performed, and included studies were assessed for risk of bias.
resultsThe review included 15 papers and found that the risk of infection ranged from 0 to 30%, and wound dehiscence from 0 to 22%. However, the review revealed substantial variation in definitions, evaluation methods, assessment timing, and preventive treatments. Studies incorporating clinical evaluations 1-3 weeks postpartum reported a higher prevalence of complications (infection 5.3%, dehiscence 9.3%) compared to those without such assessments (infection 1.8%, dehiscence 3.6%).
conclusionsSecond-degree tears and episiotomies are common, with up to 30% experiencing healing complications. This review found higher rates in studies with clinical follow-up 1-3 weeks postpartum, though precise estimates are limited by varying follow-up times and outcome definitions. This underscores the need for further research and increased clinical focus on these complications.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.