ArticleInternational urogynecology journal and pelvic floor dysfunction2007
Factors associated with anal sphincter laceration in 40,923 primiparous women.
Article in International urogynecology journal and pelvic floor dysfunction, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Guidelines for the management of third and fourth degree perineal tears after vaginal birth from the Austrian Urogynecology Working Group.International urogynecology journal · 2013Guideline
- Randomized, Double-Blind, Placebo-Controlled Trial on the Efficacy of Hyaluronidase in Preventing Perineal Trauma in Nulliparous Women.Yonsei medical journal · 2020Trial
- Is epidural analgesia an independent risk factor for OASIS? A population-based cohort study.Archives of gynecology and obstetrics · 2024Article
- Association between infant birthweight and pelvic floor muscle strength: a population-based cohort study.BMC pregnancy and childbirth · 2023Article
- Episiotomy use among vaginal deliveries and the association with anal sphincter injury: a population-based retrospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- The effectiveness of mediolateral episiotomy in preventing obstetric anal sphincter injuries during operative vaginal delivery: a ten-year analysis of a national registry.International urogynecology journal · 2018Article
- Maternal Body Mass Index and Anovaginal Distance in Active Phase of Term Labor.BioMed research international · 2018Observational
- Duration of second stage of labor and instrumental delivery as risk factors for severe perineal lacerations: population-based study.BMC pregnancy and childbirth · 2017Article
- Long- and short-term complications of episiotomy.Turkish journal of obstetrics and gynecology · 2016Review
- Obstetric anal sphincter injuries: review of anatomical factors and modifiable second stage interventions.International urogynecology journal · 2015Review
- Does childbirth play a role in the etiology of rectocele?International urogynecology journal · 2015Article
- Management of 3rd and 4th Degree Perineal Tears after Vaginal Birth. German Guideline of the German Society of Gynecology and Obstetrics (AWMF Registry No. 015/079, October 2014).Geburtshilfe und Frauenheilkunde · 2015Article
- An Evidence-Based Approach to the Evaluation, Diagnostic Assessment and Treatment of Fecal Incontinence in Women.Current obstetrics and gynecology reports · 2014Article
- Contribution of primary pelvic organ prolapse to micturition and defecation symptoms.Obstetrics and gynecology international · 2012Article
- Risk factors associated with anal sphincter tear difference among midwife, private obstetrician, and resident deliveries.International urogynecology journal and pelvic floor dysfunction · 2008Article
- Trends in major modifiable risk factors for severe perineal trauma, 1996-2006.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2008Article
- Risk factors for birth canal lacerations in primiparous women.American journal of perinatology · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to identify factors associated with anal sphincter laceration in primiparous women. A subpopulation of 40,923 primiparous women at term with complete data sets was abstracted from a state-wide perinatal database in Germany. Outcome variable was anal sphincter laceration. Independent variables were 17 known obstetrical risk factors/conditions/interventions impacting childbirth recorded on the perinatal data collection sheet. Cross table analysis followed by logistic regression analysis was used for data analysis. Logistic regression showed episiotomy (OR, 3.23; CI, 2.73-3.80) and forceps delivery (OR, 2.68, CI, 2.17-3.33) to be most strongly associated with anal sphincter laceration. Women with a BMI >or= 30 kg/m2, and smokers had a significantly lower risk of anal sphincter laceration. Local, pudendal, and epidural analgesia all reduced the risk of anal sphincter laceration. Iatrogenic factors most strongly associated with anal sphincter laceration in primiparous women include routine episiotomy and forceps delivery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.