Effect of body mass index on the incidence of perineal trauma
Autor: | Ali E. Jaffery, Nivedita Gauthaman, Constantin M. Durnea, Stergios K. Doumouchtsis |
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Rok vydání: | 2017 |
Předmět: |
Adult
medicine.medical_specialty Adolescent Birth weight Anal Canal Perineum Body Mass Index 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Perineal tear Childbirth Medicine Birth Weight Humans Mass index 030212 general & internal medicine Risk factor Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics Vaginal delivery Incidence Smoking Infant Newborn Parturition Obstetrics and Gynecology General Medicine Odds ratio Middle Aged Delivery Obstetric Obstetric Labor Complications Parity Logistic Models Episiotomy Female business Body mass index |
Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 141(2) |
ISSN: | 1879-3479 |
Popis: | Objective To investigate the association between perineal trauma at childbirth and maternal body mass index (BMI), and estimate the risk of perineal trauma among different BMI groups. Methods Data were retrospectively assessed from all vaginal deliveries in a UK tertiary maternity unit between 1999 and 2014. Associations between BMI at booking and first- and second-degree tears (minor perineal trauma), third- and fourth-degree tears (obstetric anal sphincter injuries [OASIS]), and frequency of instrumental deliveries were assessed. Multivariate logistic regression included the factors BMI (weight in kilograms divided by the square of height in meters), age, ethnicity, smoking, parity, pregnancy length, episiotomies, instrumental delivery, and birth weight. Results Data from 45 557 deliveries were used. Compared with women with a normal BMI ( |
Databáze: | OpenAIRE |
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