Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Perineal lacerations during spontaneous vaginal delivery
Autore:
Bodner, K; Bodner-Adler, B; Wagenbichler, P; Kaider, A; Leodolter, S; Husslein, P; Mayerhofer, K;
Indirizzi:
Univ Vienna, Sch Med, Dept Gynecol & Obstet, A-1090 Vienna, Austria Univ Vienna Vienna Austria A-1090 necol & Obstet, A-1090 Vienna, Austria Semmelweis Frauenklin Wien, Dept Gynecol & Obstet, Vienna, Austria Semmelweis Frauenklin Wien Vienna Austria col & Obstet, Vienna, Austria Univ Vienna, Sch Med, Dept Med Comp Sci, Vienna, Austria Univ Vienna Vienna Austria Sch Med, Dept Med Comp Sci, Vienna, Austria
Titolo Testata:
WIENER KLINISCHE WOCHENSCHRIFT
fascicolo: 19, volume: 113, anno: 2001,
pagine: 743 - 746
SICI:
0043-5325(20011015)113:19<743:PLDSVD>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANAL-SPHINCTER; RISK-FACTORS; PRIMARY REPAIR; EPISIOTOMY; TRAUMA; LABOR; TEARS; CHILDBIRTH; RUPTURE;
Keywords:
perineal lacerations; episiotomy; spontaneous vaginal delivery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Mayerhofer, K Univ Vienna, Sch Med, Dept Gynecol & Obstet, Wahringer Gurtel 18-20, A-1090 Vienna, Austria Univ Vienna Wahringer Gurtel 18-20 Vienna Austria A-1090 ia
Citazione:
K. Bodner et al., "Perineal lacerations during spontaneous vaginal delivery", WIEN KLIN W, 113(19), 2001, pp. 743-746

Abstract

Background: The aim of the study was to assess the frequency of perineal lacerations during normal spontaneous vaginal delivery and to evaluate potential risk factors. Methods: The study is based on an analysis of data from the obstetric database of the University Hospital of Vienna and the Semmelweis Women's Hospital Vienna, from February 1999 through to July 1999. Women with vaginal deliveries, uncomplicated pregnancies, uncomplicated first and second stage of labor, gestational age >37 weeks and pregnancies with cephalic presentationwere included. Results: Of 1009 women, 36.2% had perineal lacerations (18.1% had first-degree, 15.2% second-degree, and 2.9% third-degree perineal tears). Univariate logistic regression models showed that only low parity (p=0.004), the absence of episiotomy (p=0.0001), and a large head diameter of the infant (p=0.005) increased the risk for perineal laceration. After adjustment in multivariate analysis, low parity (p=0.0001), the absence of episiotomy (p=0.0001) and a large head diameter (p=0.0004) remained independent risk factors for perineal laceration. Additionally, advanced age of the mother was associated with an increased risk of perineal laceration (p=0.03). When analyzingthe probability for third-degree perineal tears, a strong association withprimiparity (p=0.01), the use of episiotomy (p=0.0001), a prolonged secondstage of labor (p=0.0001), a large head diameter of the infant (p=0.01) and the use of oxytocin (p=0.008) was found. Conclusions: Primiparous women who are being delivered of a large child are at a greater risk for severe perineal lacerations. In the study population episiotomy did not appear to protect against severe perineal lacerations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 13:11:26