Perineal body length and prevention of perineal lacerations during delivery in cameroonian primigravid patients

Objective The rate of perineal tears in Cameroonian primiparous women is reported to be up to 59.7%. The present study aimed to assess the relationship between perineal length and perineal tears. Methods We conducted a prospective study of primiparous women with singleton pregnancies of at least 36+...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2021-09, Vol.154 (3), p.481-484
Main Authors: Mboua Batoum, Véronique, Ngo Um Meka, Esther, Essiben, Félix, Robinson, Mbu Enow
Format: Article
Language:English
Subjects:
episiotomy
perineal body length
perineal laceration
primiparous
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Summary:Objective The rate of perineal tears in Cameroonian primiparous women is reported to be up to 59.7%. The present study aimed to assess the relationship between perineal length and perineal tears. Methods We conducted a prospective study of primiparous women with singleton pregnancies of at least 36+6 weeks length. The admitting physician measured the length of the perineal body at the first stage of labor and this value was hidden from the delivery personnel until delivery occurred. The presence of perineal trauma and other delivery characteristics were recorded. Data were analyzed using univariate analyses and multiple logistic regression. Results The mean perineal body length was 3.21 ± 0.75 cm (range 1.5–5.5 cm). 34 (33.0%) primiparous women sustained spontaneous perineal tears and 20 (19.4%) had episiotomies. No third‐ or fourth‐degree perineal tears were observed. Perineal body length shorter than 2.5 cm was a significant (P 
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.13580