{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:53:46Z","timestamp":1788382426228,"version":"build-2803163510"},"reference-count":123,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","award":["NIHR202869"],"award-info":[{"award-number":["NIHR202869"]}],"id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Approximately 85% of women who undergo vaginal birth sustain childbirth\u2010related perineal trauma. Worldwide, 21% of women give birth by cesarean section. These wounds therefore affect the vast majority of women after birth; however, there is a lack of validated tools to accurately identify women with abnormal wound healing in the postpartum period. Consequently, in clinical settings, validated wound\u2010assessment tools are not generally used to assess wound healing in this population. We performed a scoping review to identify and characterize wound\u2010assessment tools that have been used to determine the healing of childbirth\u2010related wounds in existing research (to include women who experience perineal trauma or a cesarean section).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Medline, EMBASE, CINAHL, and Google Scholar were searched from inception to April 2024. Studies were included where wound\u2010assessment tools were used to assess wound healing, after women had sustained either childbirth\u2010related perineal trauma or a cesarean section, as an outcome of a primary research article. For studies that assessed wound healing in women with perineal trauma, this included all types of childbirth\u2010related perineal trauma, sustained at spontaneous or assisted vaginal birth. Studies were eligible for inclusion where the wound\u2010assessment tool was used at any time\u2010point in the postpartum period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 95 studies eligible for inclusion; 72 of which utilized wound\u2010assessment tools for the assessment of healing after women sustained childbirth\u2010related perineal trauma and 23 for women with cesarean section wounds. The REEDA tool (redness, oedema, ecchymosis, discharge, approximation) was used in 91 of the 95 studies, with the remainder using alternative wound\u2010assessment tools, including the use of the ASEPSIS tool (additional treatment, serous discharge, erythema, purulent exudate, separation of deep tissues, isolation of bacteria, and length of inpatient stay).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There are limited wound\u2010assessment tools to determine healing after women sustain childbirth\u2010related wounds. The REEDA tool is the most commonly used in research settings. There is a clear need for the development of a clinically robust and inclusive wound\u2010 assessment tools, which comprehensively reflect the postpartum healing process among diverse populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aogs.70089","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:33:26Z","timestamp":1762864406000},"page":"18-29","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Healing\u2010assessment tools for perineal and cesarean section wounds in postpartum women: A scoping review"],"prefix":"10.1111","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0983-7590","authenticated-orcid":false,"given":"Rebecca","family":"Man","sequence":"first","affiliation":[{"name":"Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1725-0116","authenticated-orcid":false,"given":"Jack","family":"Le Vance","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health University of Birmingham  Birmingham UK"},{"name":"Birmingham Women's Hospital  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasmine","family":"Popa","sequence":"additional","affiliation":[{"name":"College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Wilson","sequence":"additional","affiliation":[{"name":"College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2344-4347","authenticated-orcid":false,"given":"Sue","family":"Tohill","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health University of Birmingham  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0621-9359","authenticated-orcid":false,"given":"John","family":"Maltby","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences University of Leicester  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9817-4313","authenticated-orcid":false,"given":"Victoria","family":"Hodgetts Morton","sequence":"additional","affiliation":[{"name":"Department of Applied Health Sciences, School of Health Sciences, College of Medicine and Health University of Birmingham  Birmingham UK"},{"name":"Birmingham Women's Hospital  Birmingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1247-429X","authenticated-orcid":false,"given":"R. 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