Journal of pediatric and adolescent gynecology · 2018
Prevalence and Location of Obstetric Lacerations in Adolescent Mothers.
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Shveiky David, Patchen Loral, Chill Henry H, Pehlivanova Marieta, Landy Helain J
Аннотация
STUDY OBJECTIVE: The objective of this study was to describe prevalence and location of obstetric lacerations in adolescents.
DESIGN: Retrospective cohort study.
SETTING: We performed an analysis of the Consortium on Safe Labor database including tertiary care university-affiliated urban hospitals.
PARTICIPANTS: All primiparous women who delivered vaginally were included.
INTERVENTIONS: Vaginal and perineal lacerations were compared between age groups 15 or younger, 16-21, 22-34, 35-39, and older than 40 years.
MAIN OUTCOME MEASURES: Outcome measures included vaginal, perineal, labial, and periurethral lacerations. χ2 and Fisher exact tests were used as appropriate, with P < .05 considered significant.
RESULTS: A total of 9777 patients were included in the analysis. Young adolescents and adolescents had significantly higher rates of labial and periurethral lacerations compared with individuals aged 22-34 years. The prevalence of third- and fourth-degree perineal tears increased with age.
CONCLUSION: Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.
DESIGN: Retrospective cohort study.
SETTING: We performed an analysis of the Consortium on Safe Labor database including tertiary care university-affiliated urban hospitals.
PARTICIPANTS: All primiparous women who delivered vaginally were included.
INTERVENTIONS: Vaginal and perineal lacerations were compared between age groups 15 or younger, 16-21, 22-34, 35-39, and older than 40 years.
MAIN OUTCOME MEASURES: Outcome measures included vaginal, perineal, labial, and periurethral lacerations. χ2 and Fisher exact tests were used as appropriate, with P < .05 considered significant.
RESULTS: A total of 9777 patients were included in the analysis. Young adolescents and adolescents had significantly higher rates of labial and periurethral lacerations compared with individuals aged 22-34 years. The prevalence of third- and fourth-degree perineal tears increased with age.
CONCLUSION: Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.