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Perineal wound infection — DRCOG MCQ

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ModeratePostnatal CarePerineal wound infectionDRCOG

A 25-year-old woman had a second-degree tear repaired 8 days ago. She now has increasing perineal pain, malodorous discharge and wound gaping. She is afebrile but finds sitting difficult. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Assess urgently and treat suspected perineal wound infection

Pain, malodorous discharge and wound breakdown suggest perineal wound infection needing prompt assessment, analgesia and antibiotics if infection is confirmed. Immediate re-suturing in primary care is not appropriate, particularly if infected. Delayed review risks worsening pain and delayed healing. The pearl is that perineal symptoms after birth should be actively examined, not dismissed.

Reference: NICE NG194; RCOG perineal tears patient guidance