ArticleBMJ open2013
Trends and risk factors for severe perineal trauma during childbirth in New South Wales between 2000 and 2008: a population-based data study.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Perineal Trauma and Obstetric Anal Sphincter Injuries (OASIs) in the United Kingdom: National Trends and Practice Changes Over a Decade.International urogynecology journal · 2026Article
- A mixed methods study of the postnatal care journey from birth to discharge in a maternity service in New South Wales, Australia.BMC health services research · 2024Article
- Risk factors associated with severe perineal tear at Public Hospitals in Bahir Dar town, Northwest Ethiopia.SAGE open medicine · 2024Article
- Perineal Massage for Prevention of Perineal Trauma and Episiotomy During Labor: A Systematic Review and Meta-Analysis.Journal of family & reproductive health · 2022Review
- Article
- Identifying the role of public health nurses during first postnatal visits: Experiences of mothers and public health nurses in Ireland.International journal of nursing studies advances · 2021Article
- Perineal Lacerations: A Retrospective Study in a Habitual-Risk Public Maternity.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021Article
- Article
- 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
- Article
- The impact of first birth obstetric anal sphincter injury on the subsequent birth: a population-based linkage study.BMC pregnancy and childbirth · 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
- "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
- 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
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine trends and risk factors for severe perineal trauma between 2000 and 2008.
designThis was a population-based data study.
settingNew South Wales, Australia.
participants510 006 women giving birth to a singleton baby during the period 2000-2008.
main outcome measuresRates of severe perineal trauma between 2000 and 2008 and associated demographic, fetal, antenatal, labour and delivery events and factors.
resultsThere was an increase in the overall rate of severe perineal trauma from 2000 to 2008 from 1.4% to 1.9% (36% increase). Compared with women who were intact or had minor perineal trauma (first-degree tear, vaginal graze/tear), women who were primiparous (adjusted OR (AOR) 1.8 CI (1.65 to 1.95), were born in China or Vietnam (AOR 1.1 CI (1.09 to 1.23), gave birth in a private hospital (AOR 1.1 CI (1.03 to 1.20), had an instrumental birth (AOR 1.8 CI (1.65 to 1.95) and male baby (AOR 1.3 CI (1.27 to 1.34) all had a significantly higher risk of severe perineal trauma. Only giving birth to a male baby, adjusted for birth weight (AOR 1.5 CI (1.44 to 1.58), remained significant, when women with severe perineal trauma were compared with all other women not experiencing severe perineal trauma. This association increased over the study period.
conclusionsTo our knowledge, this is the first time that having a male baby has been found to exert such a strong independent risk for severe perineal trauma and the increasing significance of this in recent years needs further exploration.
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