Prevalence and Location of Obstetric Lacerations in Adolescent Mothers.


Journal

Journal of pediatric and adolescent gynecology
ISSN: 1873-4332
Titre abrégé: J Pediatr Adolesc Gynecol
Pays: United States
ID NLM: 9610774

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 23 07 2018
revised: 27 08 2018
accepted: 09 11 2018
pubmed: 18 11 2018
medline: 13 4 2019
entrez: 18 11 2018
Statut: ppublish

Résumé

The objective of this study was to describe prevalence and location of obstetric lacerations in adolescents. Retrospective cohort study. We performed an analysis of the Consortium on Safe Labor database including tertiary care university-affiliated urban hospitals. All primiparous women who delivered vaginally were included. Vaginal and perineal lacerations were compared between age groups 15 or younger, 16-21, 22-34, 35-39, and older than 40 years. Outcome measures included vaginal, perineal, labial, and periurethral lacerations. χ A total of 9777 patients were included in the analysis. Young adolescents and adolescents had significantly higher rates of labial and periurethral lacerations compared with individuals aged 22-34 years. The prevalence of third- and fourth-degree perineal tears increased with age. Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.

Identifiants

pubmed: 30447292
pii: S1083-3188(18)30355-3
doi: 10.1016/j.jpag.2018.11.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

135-138

Informations de copyright

Copyright © 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

Auteurs

David Shveiky (D)

Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Loral Patchen (L)

Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC.

Henry H Chill (HH)

Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. Electronic address: henchill@gmail.com.

Marieta Pehlivanova (M)

Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC.

Helain J Landy (HJ)

Department of Obstetrics and Gynecology, MedStar Washington Hospital Center, Washington, DC.

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Classifications MeSH