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

Keywords

  • Perineal laceration
  • Teen population
  • Vaginal delivery

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology
  • Urology

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