American journal of obstetrics and gynecology · 2007
Cervical lacerations: some surprising facts.
СтатьяНазвание и аннотация: Перевод в очереди
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Parikh Reshma, Brotzman Susan, Anasti James N
Аннотация
OBJECTIVE: Our aim was to calculate the incidence of cervical lacerations after vaginal delivery and to study its associated risk factors.
STUDY DESIGN: A retrospective chart review of all patients with a cervical laceration after vaginal delivery during a 5 year period was performed. Their risk factors were studied. A chi2 test and Bonferroni's correction were applied. The relative risk, P values, and confidence intervals were calculated.
RESULTS: Thirty-two patients of 16,931 vaginal deliveries had a cervical laceration for an incidence of 0.2%. Cervical cerclage was associated with an 11.5-fold increase (95% confidence interval 4.1 to 33.3) and induction of labor with a 3.1-fold increase (95% confidence interval 1.5 to 6.7) in the rate of cervical lacerations. Vacuum and forceps deliveries were not noted to be significant risk factors.
CONCLUSION: We noted an association of cervical lacerations with cervical cerclage and induction of labor. We were unable to detect an association with cervical lacerations and operative vaginal delivery.
STUDY DESIGN: A retrospective chart review of all patients with a cervical laceration after vaginal delivery during a 5 year period was performed. Their risk factors were studied. A chi2 test and Bonferroni's correction were applied. The relative risk, P values, and confidence intervals were calculated.
RESULTS: Thirty-two patients of 16,931 vaginal deliveries had a cervical laceration for an incidence of 0.2%. Cervical cerclage was associated with an 11.5-fold increase (95% confidence interval 4.1 to 33.3) and induction of labor with a 3.1-fold increase (95% confidence interval 1.5 to 6.7) in the rate of cervical lacerations. Vacuum and forceps deliveries were not noted to be significant risk factors.
CONCLUSION: We noted an association of cervical lacerations with cervical cerclage and induction of labor. We were unable to detect an association with cervical lacerations and operative vaginal delivery.