ArticleHealthcare (Basel, Switzerland)2024
The "Ideal Birth": The Occurrence of Severe Perineal Lacerations, Related Factors and the Possibility of Identifying Patients at Higher Risk.
Article in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Efficacy of photobiomodulation in perineal trauma after vaginal delivery: a protocol for a randomized, blinded clinical trial.Lasers in medical science · 2026Article
- Early Mother-Newborn Skin-to-Skin Contact at Term Birth and Early Neonatal Thermoregulation Under Routine Clinical Practice.Medicina (Kaunas, Lithuania) · 2026Article
- Impact and safety of perineal massage in late pregnancy on delivery outcomes among primiparous women: a propensity score matching analysis.BMC pregnancy and childbirth · 2025Article
- Network meta-analysis of episiotomy approaches: comparing routine, restrictive, and non-episiotomy strategies and their effects on maternal and neonatal outcomes in primiparous patients.Reproductive health · 2025Review
- A Preliminary Study of Intravaginal Lactic Acid Gel (CanesbalanceHealthcare (Basel, Switzerland) · 2025Article
- Ultrasound-based machine learning models for assisting the prediction of neonatal size and mode of delivery.Therapeutic advances in reproductive healthArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObstetric lesions of the anal sphincter (OASIS) are tears intersecting the structure of the anus after vaginal delivery. Our aim is to provide data on the incidence of OASIS and investigate potentially connected risk factors.
methodsThis is a retrospective analysis of 464 parturient patients admitted to the AOU Maggiore della Carità, Novara (Italy), in the last ten years (2013-2023), comparing 116 cases (with OASIS) versus 348 controls (with no OASIS).
resultsThe incidence of OASIS was 1.1%. Among the significant risk factors associated with the risk of severe perineal laceration in our sample, we observed nulliparity, previous caesarean sections, assisted reproduction technology, kilos gained during pregnancy, induced delivery, the use of oxytocin for augmentation, epidural analgesia, delivery after 40 weeks of gestation, position at delivery, the duration of labor, the application of a vacuum cup, newborn weight and head circumference.
conclusionsIt was a challenge to find data on OASIS and on more preventable and modifiable risk factors. Beyond the improvement of the corresponding diagnostic and therapeutic tools, a new aim could be to stratify women giving birth based on possible risk factors.
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