OBJECTIVE To estimate the association between maternal obesity and risk of three different degrees of severity of obstetric anal sphincter injury. METHODS The study population consisted of 436,482 primiparous women with singleton term vaginal cephalic births between 1998 and 2011 identified in the Swedish Medical Birth Registry. Women were grouped into six categories of BMI. BMI 18.5-24.9 was...

BACKGROUND Medical staff's influence on patient outcomes has become a subject of interest. We evaluated experienced midwives and compared their performance concerning perineal lacerations (PL). METHODS In a retrospective cohort study, 1937 women with singleton pregnancies who had delivered spontaneously with a cephalic presentation by experienced midwives in the Medical University of Vienna f...

OBJECTIVE To investigate whether episiotomy, perineal laceration, and operative delivery are associated with pelvic floor disorders after vaginal childbirth. METHODS This is a planned analysis of data for a cohort study of pelvic floor disorders. Participants who had experienced at least one vaginal birth were recruited 5-10 years after delivery of their first child. Obstetric exposures were ...

background : many women suffer from perineal trauma during the normal vaginal delivery. perineal trauma is mainly associated with pain and complications after the childbirth. perineal management techniques can play a significant role in perineal trauma reduction. this study aimed to compare the effects of perineal management techniques (hands-off technique, ritgen maneuver and perineal massage ...