TY - BOOK AU - Landy, Helain J AU - Patchen, Loral AU - Pehlivanova, Marieta TI - Prevalence and Location of Obstetric Lacerations in Adolescent Mothers SN - 1083-3188 PY - 2018/// KW - *Delivery, Obstetric/sn [Statistics & Numerical Data] KW - *Lacerations/ep [Epidemiology] KW - *Obstetric Labor Complications/ep [Epidemiology] KW - *Pregnancy in Adolescence/sn [Statistics & Numerical Data] KW - Adolescent KW - Adult KW - Cohort Studies KW - Databases, Factual KW - Delivery, Obstetric/ae [Adverse Effects] KW - Episiotomy/ae [Adverse Effects] KW - Female KW - Humans KW - Lacerations/et [Etiology] KW - Mothers/sn [Statistics & Numerical Data] KW - Parity KW - Perineum/in [Injuries] KW - Pregnancy KW - Prevalence KW - Retrospective Studies KW - Urethra/in [Injuries] KW - Vagina/in [Injuries] KW - Young Adult KW - MedStar Health Research Institute KW - MedStar Washington Hospital Center KW - Nursing KW - Obstetrics and Gynecology/ Maternal-Fetal Medicine KW - Journal Article N1 - Available online through MWHC library: 2002 - present N2 - 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 3rd and 4th 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 UR - https://dx.doi.org/10.1016/j.jpag.2018.11.004 ER -