Citation: Journal of Pediatric & Adolescent Gynecology. 2018 Nov 14.Journal: Journal of pediatric and adolescent gynecology.Published: ; 2018ISSN: 1083-3188.Full author list: Shveiky D; Patchen L; Chill HH; Pehlivanova M; Landy HJ.UI/PMID: 30447292.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment(s): Nursing | Obstetrics and Gynecology/ Maternal-Fetal MedicineActivity type: Journal Article.Medline article type(s): Journal ArticleDigital Object Identifier: https://dx.doi.org/10.1016/j.jpag.2018.11.004 (Click here)Abbreviated citation: J Pediatr Adolesc Gynecol. 2018 Nov 14.Local Holdings: Available online through MWHC library: 2002 - present.Abstract: STUDY OBJECTIVE: The objective of this study is to describe prevalence and location of obstetric lacerations in adolescents.Abstract: DESIGN: Retrospective cohort study.Abstract: SETTING: We performed an analysis of the Consortium on Safe Labor database including tertiary care university affiliated urban hospitals.Abstract: PARTICIPANTS: All primiparous women who delivered vaginally were included.Abstract: INTERVENTIONS: Vaginal and perineal lacerations were compared between age groups 15 or less, 16-21, 22-34, 35-39 and >40 years.Abstract: 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.Abstract: 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.Abstract: CONCLUSION: Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.Abstract: Copyright (c) 2018. Published by Elsevier Inc.