ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2008
Trends in major modifiable risk factors for severe perineal trauma, 1996-2006.
Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Interventions for women in subsequent pregnancies following obstetric anal sphincter injury to reduce the risk of recurrent injury and associated harms.The Cochrane database of systematic reviews · 2014Pooled it
- Hyaluronidase for reducing perineal trauma.The Cochrane database of systematic reviews · 2014Pooled it
- Continuous versus discontinuous suture in perineal injuries produced during delivery in primiparous women: a randomized controlled trial.BMC pregnancy and childbirth · 2019Trial
- Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial.Journal of clinical medicine · 2021Article
- The association between vacuum-assisted vaginal delivery and anal sphincter injury.International urogynecology journal · 2021Article
- Sonographic fetal head circumference and the risk of obstetric anal sphincter injury following vaginal delivery.International urogynecology journal · 2020Article
- Selective use of episiotomy: what is the impact on perineal trauma? Results from a retrospective cohort study.Archives of gynecology and obstetrics · 2020Article
- Does birthweight have a role in the effect of episiotomy on anal sphincter injury?Archives of gynecology and obstetrics · 2020Article
- Intact Perineum: What are the Predictive Factors in Spontaneous Vaginal Birth?Materia socio-medica · 2019Article
- Incidence and Risk Factors of Obstetric Anal Sphincter Injuries after Various Modes of Vaginal Deliveries in Chinese Women.Chinese medical journal · 2015Article
- Impact of fecal incontinence and its treatment on quality of life in women.Women's health (London, England) · 2015Review
- "A patchwork of services"--caring for women who sustain severe perineal trauma in New South Wales--from the perspective of women and midwives.BMC pregnancy and childbirth · 2014Article
- Does induction of labor for constitutionally large-for-gestational-age fetuses identified in utero reduce maternal morbidity?BMC pregnancy and childbirth · 2014Article
- Third and fourth degree perineal injury after vaginal delivery: does race make a difference?Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2014Article
- Perineal trauma after vaginal delivery in healthy pregnant women.Sao Paulo medical journal = Revista paulista de medicina · 2014Article
- Article
- Risk of recurrence, subsequent mode of birth and morbidity for women who experienced severe perineal trauma in a first birth in New South Wales between 2000-2008: a population based data linkage study.BMC pregnancy and childbirth · 2013Article
- First do no harm: interventions during childbirth.The Journal of perinatal education · 2013Article
- Perineal body length among different racial groups in the first stage of labor.Female pelvic medicine & reconstructive surgeryArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo examine what effect the major modifiable risk factors for severe perineal trauma have had on the rates of this trauma over time.
methodsA retrospective observational cohort study of singleton vaginal deliveries taken from a perinatal database for the period 1996 through 2006.
resultsA total of 46,239 singleton vertex vaginal deliveries met the inclusion criteria. Major risk factors for severe perineal trauma were increased maternal age (odds ratio [OR] 1.28, 95% confidence interval [CI] 1.1-1.5), non-African American ethnicity (OR 1.5, 95% CI 1.3-1.7), nulliparity (OR 4.8, 95% CI 4.11-5.6), fetal birth weight (OR 2.2, 95% CI 1.9-2.4), forceps (OR 8.3, 95% CI 5.4-10.8), vacuum (OR 2.9, 95% CI 1.9-4.4), and midline episiotomy (OR 5.7, 95% CI 5.0-6.4). Evaluation of the changes in rates of these factors over the study period revealed that the decline in the rates of episiotomy and the use of forceps accounted for a reduction in severe lacerations of more than 50%.
conclusionReduction of severe perineal trauma by restricted use of the 2 modifiable clinical variables, episiotomy and forceps, is evident over time.
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