Obesity May Be Protective against Severe Perineal Lacerations

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Obesity May Be Protective against Severe Perineal Lacerations

Objective. To determine if there is an association between BMI and 3rd- or 4th-degree perineal lacerations in normal spontaneous and operative vaginal deliveries. Study Design. We performed a retrospective case control study using a large obstetric quality improvement database over a six-year period. Cases were identified as singleton gestations with third- and fourth-degree lacerations. Contro...

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Selective Episiotomy: Indications, Techinique, and Association with Severe Perineal Lacerations.

Introduction Episiotomy is a controversial procedure, especially because the discussion that surrounds it has gone beyond the field of scientific debate, being adopted as an indicator of the "humanization of childbirth". The scientific literature indicates that episiotomy should not be performed routinely, but selectively. Objectives To review the literature in order to assess whether the imple...

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Association between median episiotomy and severe perineal lacerations in primiparous women.

OBJECTIVE To evaluate the association between median episiotomy and severe (third- and fourth-degree) perineal lacerations in primiparous women. DESIGN Retrospective cohort study. SETTING University-affiliated hospital providing secondary obstetric care in Quebec City. PATIENTS A total of 6522 primiparous women who gave birth vaginally to a single live baby in cephalic position between 19...

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Episiotomy and Instrumental Delivery: Can Severe Perineal Injury Be Avoided?

Third degree perineal tears are a major complication in vaginal childbirth and are more frequent in vaginal operative deliveries (VOD). Several studies have reported on risk factors associated with severe perineal trauma and its complications such as fecal and urinary incontinence. Within this, the role performance and type of episiotomy remains controversial, especially if combined with VOD. A...

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Perineal body length and perineal lacerations during delivery in primigravid patients.

This study assessed the relation between perineal body length and the risk of perineal laceration extending into the anal sphincter during vaginal delivery in primigravid patients at an institution with a low utilization of episiotomy. This was a prospective study of primigravid patients in active labor. Primigravid women with singleton pregnancies who were in the first stage of labor at 37 wee...

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ژورنال

عنوان ژورنال: Journal of Obesity

سال: 2016

ISSN: 2090-0708,2090-0716

DOI: 10.1155/2016/9376592