Risk Factors in Third and Fourth Degree Perineal Tears in Women in a Tertiary Centre: An Observational Ambispective Cohort Study
Autor: | Juan De León-Luis, Miguel A Ortega, Maria P Pintado-Recarte, Javier Ruiz-Labarta, Ignacio Cueto-Hernández, Julia Buján, Juan A Barca, Coral Bravo, Melchor Alvarez-Mon, Yolanda Cuñarro |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Episiotomy
medicine.medical_specialty Medicina Ginecología y obstetricia Birth weight medicine.medical_treatment Forceps obstetric vaginal tear Medicine (miscellaneous) Fourth degree Article 03 medical and health sciences 0302 clinical medicine perineal tear Perineal tear obstetric injuries medicine risk factors 030212 general & internal medicine 030219 obstetrics & reproductive medicine Obstetrics business.industry Tears Medicine Observational study business Cohort study |
Zdroj: | Journal of Personalized Medicine, Vol 11, Iss 685, p 685 (2021) Journal of Personalized Medicine Volume 11 Issue 8 |
Popis: | Objectives: To analyze the main risk factors associated with third and fourth degree postpartum perineal tears in women attended to in our obstetrics service. Methods: An observational, retrospective, hospital cohort study was carried out in women whose deliveries were attended to in the obstetrics service of the Hospital General Universitario Gregorio Marañón de Madrid (HGUGM), during the period from January 2010 to April 2017. Results: During the study period, a total of 33,026 patients were included in the study. For maternal variables, the associated increased risk of severe perineal tearing in nulliparous women is OR = 3.48, for induced labor OR = 1.29, and for instrumental delivery by forceps OR = 4.52 or spatulas OR = 4.35 for the obstetric variable of episiotomy, it is OR = 3.41. For the neonatal variables, the weight of the newborns has a directly proportional relationship with the risk of severe tears, and for birth weights of 3000 g (OR = 2.41), 3500 g (OR = 1.97), and 4000 g (OR = 2.17), statistically significant differences were found in each of the groups (p < 0.05). Conclusion: Primiparity, induction of labor, episiotomy, instrumental delivery with forceps or spatula, and a birth weight of 3000 g or more are significantly associated with an increased risk of third and fourth degree perineal tears. |
Databáze: | OpenAIRE |
Externí odkaz: |