Prevalence and Location of Obstetric Lacerations in Adolescent Mothers. 

 -  2018 
<br/><br/>Available online through MWHC library: 2002 - present 
<br/><br/> 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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>1083-3188 
<br/><br/><label>Standard No.: </label>10.1016/j.jpag.2018.11.004 [doi] S1083-3188(18)30355-3 [pii] 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Delivery, Obstetric/sn [Statistics & Numerical Data]<br/>*Lacerations/ep [Epidemiology]<br/>*Obstetric Labor Complications/ep [Epidemiology]<br/>*Pregnancy in Adolescence/sn [Statistics & Numerical Data]<br/>Adolescent<br/>Adult<br/>Cohort Studies<br/>Databases, Factual<br/>Delivery, Obstetric/ae [Adverse Effects]<br/>Episiotomy/ae [Adverse Effects]<br/>Female<br/>Humans<br/>Lacerations/et [Etiology]<br/>Mothers/sn [Statistics & Numerical Data]<br/>Parity<br/>Perineum/in [Injuries]<br/>Pregnancy<br/>Prevalence<br/>Retrospective Studies<br/>Urethra/in [Injuries]<br/>Vagina/in [Injuries]<br/>Young Adult
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Health Research Institute<br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Nursing<br/>Obstetrics and Gynecology/ Maternal-Fetal Medicine
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article