Prevalence and Location of Obstetric Lacerations in Adolescent Mothers.

MedStar author(s):
Citation: Journal of Pediatric & Adolescent Gynecology. 32(2):135-138, 2019 Apr.PMID: 30447292Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Nursing | Obstetrics and Gynecology/ Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Delivery, Obstetric/sn [Statistics & Numerical Data] | *Lacerations/ep [Epidemiology] | *Obstetric Labor Complications/ep [Epidemiology] | *Pregnancy in Adolescence/sn [Statistics & Numerical Data] | Adolescent | Adult | Cohort Studies | Databases, Factual | Delivery, Obstetric/ae [Adverse Effects] | Episiotomy/ae [Adverse Effects] | Female | Humans | Lacerations/et [Etiology] | Mothers/sn [Statistics & Numerical Data] | Parity | Perineum/in [Injuries] | Pregnancy | Prevalence | Retrospective Studies | Urethra/in [Injuries] | Vagina/in [Injuries] | Young AdultYear: 2018Local holdings: Available online through MWHC library: 2002 - presentISSN:
  • 1083-3188
Name of journal: Journal of pediatric and adolescent gynecologyAbstract: CONCLUSION: Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.Copyright (c) 2018. Published by Elsevier Inc.DESIGN: Retrospective cohort study.INTERVENTIONS: Vaginal and perineal lacerations were compared between age groups 15 or less, 16-21, 22-34, 35-39 and >40 years.MAIN OUTCOME MEASURES: Outcome measures included vaginal, perineal, labial and periurethral lacerations. Chi square and Fisher's exact tests were utilized as appropriate, with p<0.05 considered significant.PARTICIPANTS: All primiparous women who delivered vaginally were included.RESULTS: A total of 9777 patients were included in the analysis. Young adolescents and adolescents, had significantly higher rates of labial and periurethral lacerations as compared to age 22-34. The prevalence of 3<sup>rd</sup> and 4<sup>th</sup> degree perineal tears increased with age.SETTING: We performed an analysis of the Consortium on Safe Labor database including tertiary care university affiliated urban hospitals.STUDY OBJECTIVE: The objective of this study is to describe prevalence and location of obstetric lacerations in adolescents.All authors: Chill HH, Landy HJ, Patchen L, Pehlivanova M, Shveiky DFiscal year: FY2019Digital Object Identifier: Date added to catalog: 2018-12-14
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 30447292 Available 30447292

Available online through MWHC library: 2002 - present

CONCLUSION: Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.

Copyright (c) 2018. Published by Elsevier Inc.

DESIGN: Retrospective cohort study.

INTERVENTIONS: Vaginal and perineal lacerations were compared between age groups 15 or less, 16-21, 22-34, 35-39 and >40 years.

MAIN OUTCOME MEASURES: Outcome measures included vaginal, perineal, labial and periurethral lacerations. Chi square and Fisher's exact tests were utilized as appropriate, with p<0.05 considered significant.

PARTICIPANTS: All primiparous women who delivered vaginally were included.

RESULTS: A total of 9777 patients were included in the analysis. Young adolescents and adolescents, had significantly higher rates of labial and periurethral lacerations as compared to age 22-34. The prevalence of 3<sup>rd</sup> and 4<sup>th</sup> degree perineal tears increased with age.

SETTING: We performed an analysis of the Consortium on Safe Labor database including tertiary care university affiliated urban hospitals.

STUDY OBJECTIVE: The objective of this study is to describe prevalence and location of obstetric lacerations in adolescents.

English

Powered by Koha