Risk factors for perineal lacerations in teen deliveries

Danielle Patterson, Andrew F. Hundley

Research output: Contribution to journalArticle

Abstract

Objectives: Severe perineal lacerations have been associated with the development of fecal incontinence. This study was designed to identify risk factors for severe perineal lacerations in vaginal delivery in a teen population. Methods: This was a retrospective database analysis of 534 teen term, singleton, cephalic vaginal deliveries. The primary outcome was the occurrence of a third- or fourth-degree laceration. Categorical and continuous variables were compared using the Ξ2 and Student t tests, respectively. Results: Overall, 43 (8.1%) of our patients had third- or fourth-degree lacerations. In a multivariate regression model, the use of insulin in pregnancy, episiotomy, operative vaginal delivery, and increased infant birth weight all had an increased odds ratio for severe perineal laceration. Conclusions: Operative vaginal delivery, episiotomy, increased infant birth weight and gestational diabetes requiring insulin for glucose control all appear to increase the risk of severe perineal laceration at the time of vaginal delivery in a teenage population.

Original languageEnglish (US)
Pages (from-to)345-348
Number of pages4
JournalFemale Pelvic Medicine and Reconstructive Surgery
Volume16
Issue number6
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

Fingerprint

Lacerations
Episiotomy
Birth Weight
Insulin
Fecal Incontinence
Gestational Diabetes
Population
Odds Ratio
Head
Databases
Students
Glucose
Pregnancy

Keywords

  • Perineal laceration
  • Teen population
  • Vaginal delivery

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Surgery
  • Urology

Cite this

Risk factors for perineal lacerations in teen deliveries. / Patterson, Danielle; Hundley, Andrew F.

In: Female Pelvic Medicine and Reconstructive Surgery, Vol. 16, No. 6, 01.01.2010, p. 345-348.

Research output: Contribution to journalArticle

@article{d4ba36531f9a4b169c977d8d99b1bd82,
title = "Risk factors for perineal lacerations in teen deliveries",
abstract = "Objectives: Severe perineal lacerations have been associated with the development of fecal incontinence. This study was designed to identify risk factors for severe perineal lacerations in vaginal delivery in a teen population. Methods: This was a retrospective database analysis of 534 teen term, singleton, cephalic vaginal deliveries. The primary outcome was the occurrence of a third- or fourth-degree laceration. Categorical and continuous variables were compared using the Ξ2 and Student t tests, respectively. Results: Overall, 43 (8.1{\%}) of our patients had third- or fourth-degree lacerations. In a multivariate regression model, the use of insulin in pregnancy, episiotomy, operative vaginal delivery, and increased infant birth weight all had an increased odds ratio for severe perineal laceration. Conclusions: Operative vaginal delivery, episiotomy, increased infant birth weight and gestational diabetes requiring insulin for glucose control all appear to increase the risk of severe perineal laceration at the time of vaginal delivery in a teenage population.",
keywords = "Perineal laceration, Teen population, Vaginal delivery",
author = "Danielle Patterson and Hundley, {Andrew F.}",
year = "2010",
month = "1",
day = "1",
doi = "10.1097/SPV.0b013e3181fe2a4c",
language = "English (US)",
volume = "16",
pages = "345--348",
journal = "Female Pelvic Medicine and Reconstructive Surgery",
issn = "2151-8378",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Risk factors for perineal lacerations in teen deliveries

AU - Patterson, Danielle

AU - Hundley, Andrew F.

PY - 2010/1/1

Y1 - 2010/1/1

N2 - Objectives: Severe perineal lacerations have been associated with the development of fecal incontinence. This study was designed to identify risk factors for severe perineal lacerations in vaginal delivery in a teen population. Methods: This was a retrospective database analysis of 534 teen term, singleton, cephalic vaginal deliveries. The primary outcome was the occurrence of a third- or fourth-degree laceration. Categorical and continuous variables were compared using the Ξ2 and Student t tests, respectively. Results: Overall, 43 (8.1%) of our patients had third- or fourth-degree lacerations. In a multivariate regression model, the use of insulin in pregnancy, episiotomy, operative vaginal delivery, and increased infant birth weight all had an increased odds ratio for severe perineal laceration. Conclusions: Operative vaginal delivery, episiotomy, increased infant birth weight and gestational diabetes requiring insulin for glucose control all appear to increase the risk of severe perineal laceration at the time of vaginal delivery in a teenage population.

AB - Objectives: Severe perineal lacerations have been associated with the development of fecal incontinence. This study was designed to identify risk factors for severe perineal lacerations in vaginal delivery in a teen population. Methods: This was a retrospective database analysis of 534 teen term, singleton, cephalic vaginal deliveries. The primary outcome was the occurrence of a third- or fourth-degree laceration. Categorical and continuous variables were compared using the Ξ2 and Student t tests, respectively. Results: Overall, 43 (8.1%) of our patients had third- or fourth-degree lacerations. In a multivariate regression model, the use of insulin in pregnancy, episiotomy, operative vaginal delivery, and increased infant birth weight all had an increased odds ratio for severe perineal laceration. Conclusions: Operative vaginal delivery, episiotomy, increased infant birth weight and gestational diabetes requiring insulin for glucose control all appear to increase the risk of severe perineal laceration at the time of vaginal delivery in a teenage population.

KW - Perineal laceration

KW - Teen population

KW - Vaginal delivery

UR - http://www.scopus.com/inward/record.url?scp=80053012843&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80053012843&partnerID=8YFLogxK

U2 - 10.1097/SPV.0b013e3181fe2a4c

DO - 10.1097/SPV.0b013e3181fe2a4c

M3 - Article

VL - 16

SP - 345

EP - 348

JO - Female Pelvic Medicine and Reconstructive Surgery

JF - Female Pelvic Medicine and Reconstructive Surgery

SN - 2151-8378

IS - 6

ER -