Prevalence and Location of Obstetric Lacerations in Adolescent Mothers.
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
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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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