Risk factors for poor perineal outcome after operative vaginal delivery

Objective Identify risk factors for poor perineal outcome after operative vaginal delivery. Study design A retrospective cohort study was performed including operative vaginal deliveries during 2015 through 2016. Results Of 529 operative vaginal deliveries, 79 (14.9%) had higher order perineal lacer...

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Bibliographic Details
Published in:Journal of perinatology 2018-12, Vol.38 (12), p.1625-1630
Main Authors: Wilkie, Gianna L., Saadeh, Michael, Robinson, Julian N., Little, Sarah E.
Format: Article
Language:English
Subjects:
692/308/409
692/499
Adult
Analysis
Boston - epidemiology
Breakdown
Chorioamnionitis
Chorioamnionitis - epidemiology
Delivery (Childbirth)
Delivery, Obstetric - adverse effects
Episiotomy - adverse effects
Extraction, Obstetrical - adverse effects
Female
Health risk assessment
Humans
Injuries
Lacerations - surgery
Logistic Models
Medical instruments
Medicine
Medicine & Public Health
Narcotics
Narcotics - adverse effects
Obstetric Labor Complications - epidemiology
Pediatric Surgery
Pediatrics
Perineum
Perineum - injuries
Postpartum
Postpartum Period
Pregnancy
Retrospective Studies
Risk analysis
Risk Factors
Surgical Wound Dehiscence - epidemiology
Surgical Wound Dehiscence - etiology
Vacuum
Vagina
Wounds
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Description
Summary:Objective Identify risk factors for poor perineal outcome after operative vaginal delivery. Study design A retrospective cohort study was performed including operative vaginal deliveries during 2015 through 2016. Results Of 529 operative vaginal deliveries, 79 (14.9%) had higher order perineal lacerations and 14 (2.7%) had a wound breakdown. The only significant risk factor for higher order lacerations was chorioamnionitis (aOR 2.2; 95% CI 1.09–4.44). Risk factors for perineal wound breakdown included episiotomy (5.2 vs. 1.2%; p  
ISSN:0743-8346
1476-5543
1476-5543
DOI:10.1038/s41372-018-0252-2