Third degree obstetric perineal tears: risk factors and the preventive role of mediolateral episiotomy

British Journal of Obstetrics and Gynaecology
A C PoenS G Meuwissen

Abstract

To determine risk factors for third degree obstetric perineal tears and to give recommendations for prevention. Retrospective case control study. A teaching hospital in The Netherlands. One hundred and twenty cases of vaginal delivery complicated by third degree perineal tear and 702 uncomplicated vaginal deliveries were compared, with respect to possible risk factors. In a multivariate model high birthweight, forceps delivery, induced labour, epidural anaesthesia and parity were risk factors for anal sphincter tear. In addition, mediolateral episiotomy was associated with fewer sphincter injuries. Separate analysis of nulli- and multiparous women demonstrated that high birthweight and epidural anaesthesia (increased risk) and mediolateral episiotomy (decreased risk) were factors associated with anal sphincter tear only in nulliparous women. We found several risk factors for anal sphincter tear. Nulliparous women are at higher risk than multiparous women. Mediolateral episiotomy may be sphincter-saving especially in nulliparous women and therefore prevent them from chronic faecal incontinence.

References

Oct 1, 1992·Acta Obstetricia Et Gynecologica Scandinavica·K Moller Bek, S Laurberg
Dec 1, 1992·British Journal of Obstetrics and Gynaecology·T B HenriksenN J Secher
Jul 1, 1990·American Journal of Obstetrics and Gynecology·C A CombsR K Laros
Jan 1, 1988·European Journal of Obstetrics, Gynecology, and Reproductive Biology·K HaademG Lingman
Jan 1, 1987·Acta Obstetricia Et Gynecologica Scandinavica·L MeyerF Meyer
Jun 1, 1983·Obstetrical & Gynecological Survey·S B Thacker, H D Banta
Sep 8, 1984·British Medical Journal·J SleepI Chalmers
May 1, 1980·British Journal of Obstetrics and Gynaecology·P M CoatsR J Beard
Sep 1, 1994·American Journal of Obstetrics and Gynecology·M C KleinM S Guralnick
Apr 2, 1994·BMJ : British Medical Journal·A H SultanC I Bartram
Dec 23, 1993·The New England Journal of Medicine·A H SultanC I Bartram
Dec 23, 1993·The New England Journal of Medicine·J O DeLancey
Mar 1, 1993·The British Journal of Surgery·M SørensenJ Christiansen

❮ Previous
Next ❯

Citations

Aug 31, 2002·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Patrick J Woodman, Daniel O Graney
Jan 22, 2005·International Urogynecology Journal and Pelvic Floor Dysfunction·Diaa E E RizkFikri Abu-Zidan
Mar 29, 2007·International Urogynecology Journal and Pelvic Floor Dysfunction·Steven M MinagliaDavid A Miller
Mar 14, 2008·International Urogynecology Journal and Pelvic Floor Dysfunction·Eddie H M SzeGerry Hobbs
Aug 28, 2010·International Urogynecology Journal·Charlotte LuthanderMargareta Hammarström
Mar 17, 2004·Archives of Gynecology and Obstetrics·Eyal SheinerMoshe Mazor
May 2, 2006·Archives of Gynecology and Obstetrics·Akihito NakaiToshiyuki Takeshita
Apr 1, 2009·Archives of Gynecology and Obstetrics·Amadeus HornemannMichael K Bohlmann
May 2, 2012·Archives of Gynecology and Obstetrics·Noah Zafran, Raed Salim
Sep 11, 2012·Archives of Gynecology and Obstetrics·Samuel LurieOscar Sadan
Feb 24, 2004·Diseases of the Colon and Rectum·Richelle J F Felt-Bersma
Jan 24, 2008·Diseases of the Colon and Rectum·A LepistöP Luukkonen
Jun 14, 2005·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Hakan AytanFiliz A Avsar
Jul 2, 1999·Obstetrics and Gynecology·J ZetterströmA Mellgren
Jan 23, 2002·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Katie M Groom, Sara Paterson-Brown
Apr 18, 2001·BJOG : an International Journal of Obstetrics and Gynaecology·J W de LeeuwH C Wallenburg
Dec 11, 2003·BJOG : an International Journal of Obstetrics and Gynaecology·Douglas G TincelloZarko Alfirevic
Nov 17, 2001·Obstetrical & Gynecological Survey·P Miksovsky, W J Watson
Mar 19, 2013·BMC Pregnancy and Childbirth·Lesley A SmithEthel E Burns
Sep 7, 2004·Journal of Perinatal Medicine·Verena GeissbuehlerJakob Eberhard
Nov 20, 2012·International Urogynecology Journal·T AigmuellerUNKNOWN Austrian Urogynecology Working Group
May 17, 2013·Bulletin of the World Health Organization·Anh T TrinhChristine L Roberts
Nov 18, 2003·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·A Williams
Oct 14, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·G HudelistM Gorti
Feb 10, 2004·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·B O OnonezeM J Turner
Mar 11, 2009·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·O Eskandar, D Shet
Nov 14, 2013·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·R KeriakosN Hilal
Jun 2, 2004·Journal de gynécologie, obstétrique et biologie de la reproduction·S BaumeM Dreyfus
May 3, 2011·Journal de gynécologie, obstétrique et biologie de la reproduction·C GrisotX Carcopino
Jun 26, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Xin YangYue Dong
Apr 3, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Vladimir RevickyJose J Nieto
Jun 2, 2009·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Katariina LaineJouko Pirhonen
Feb 13, 2007·Gynécologie, obstétrique & fertilité·A BarbierB Deval
Jul 28, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·Abimbola WilliamsDavid H Richmond
Nov 1, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·X FritelA Pigné
Mar 21, 2012·Acta Obstetricia Et Gynecologica Scandinavica·Sigolene RognantMichel Dreyfus
Jun 26, 2004·Gynécologie, obstétrique & fertilité·O DupuisR-C Rudigoz
Mar 19, 2003·Seminars in Perinatology·Jane Cleary-Goldman, Julian N Robinson
Nov 8, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nir MelamedYariv Yogev
Jan 31, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yiska Loewenberg-WeisbandRonit Calderon-Margalit
Sep 19, 2009·American Journal of Obstetrics and Gynecology·Steven M MinagliaIan A Oyama

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

British Journal of Obstetrics and Gynaecology
S AnthonyP H Verkerk
The Australian & New Zealand Journal of Obstetrics & Gynaecology
J WoodN Rieger
Acta Obstetricia Et Gynecologica Scandinavica
C Jandér, S Lyrenäs
© 2021 Meta ULC. All rights reserved