Prevalence of high-grade perineal tear during labor in Mexican adolescents
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Redalyc
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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad del Valle
2018
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| _version_ | 1876429796316020736 |
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| author | María Teresa Sánchez-Ávila |
| author_facet | María Teresa Sánchez-Ávila |
| contents | Prevalence of high-grade perineal tear during labor in Mexican adolescents María Teresa Sánchez-Ávila Marisol Galván-Caudillo Jaime Javier Cantú-Pompa Natalia Vázquez-Romero Jhanea Patricia Martínez-López Víctor Manuel Matías-Barrios Abryl Mariana Avitia-Herrera Luis Alonso Morales-Garza Claudia Eugenia Hernández-Escobar Gonzalo Soto-Fuenzalida María Teresa González-Garza Medicina parity delivery obstetric pregnancy Episiotomy Introduction: There is a high rate of deliveries in adolescents in Mexico. This age group is vulnerable to obstetric complications, including lacerations of the anal sphincter.Objective: To determine the prevalence of third and fourth degree perineal tears in adolescents during childbirth, and to evaluate risk factors in comparison with deliveries with lacerations of adult women.Methods: All obstetric care episodes were reviewed from a public tertiary hospital data in Monterrey, Mexico in 2014. Age, primiparity, delivery instrumentation, episiotomy, body mass index, product weight and tear´s degree were documented at the deliveries with tears of third and fourth degree.Results: The prevalence of third and fourth degree tears of 2.0% was found in the general population, being adolescents the most affected with 2.5%. The unadjusted odds ratio of high-grade tears in adolescent females at delivery, compared to adult females, was 1.36 (95% CI = 0.99-1.86, p= 0.05). No difference was found when comparing risk factors among high-grade tear deliveries in adolescents versus adults.Conclusions: A higher prevalence than previous reported for high grade tears during delivery was found. The data suggest adolescence as a risk factor for high-grade tears during delivery. 2018 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28358186003 https://www.redalyc.org/journal/283/28358186003/ https://www.redalyc.org/journal/283/28358186003/html/ https://www.redalyc.org/journal/283/28358186003/28358186003.epub https://www.redalyc.org/journal/283/28358186003/movil 10.25100/cm.v49i4.3515 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.49 |
| format | Artículo científico |
| id | redalyc_28358186003 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Universidad del Valle |
| spellingShingle | Prevalence of high-grade perineal tear during labor in Mexican adolescents María Teresa Sánchez-Ávila Medicina parity delivery obstetric pregnancy Episiotomy Prevalence of high-grade perineal tear during labor in Mexican adolescents María Teresa Sánchez-Ávila Marisol Galván-Caudillo Jaime Javier Cantú-Pompa Natalia Vázquez-Romero Jhanea Patricia Martínez-López Víctor Manuel Matías-Barrios Abryl Mariana Avitia-Herrera Luis Alonso Morales-Garza Claudia Eugenia Hernández-Escobar Gonzalo Soto-Fuenzalida María Teresa González-Garza Medicina parity delivery obstetric pregnancy Episiotomy Introduction: There is a high rate of deliveries in adolescents in Mexico. This age group is vulnerable to obstetric complications, including lacerations of the anal sphincter.Objective: To determine the prevalence of third and fourth degree perineal tears in adolescents during childbirth, and to evaluate risk factors in comparison with deliveries with lacerations of adult women.Methods: All obstetric care episodes were reviewed from a public tertiary hospital data in Monterrey, Mexico in 2014. Age, primiparity, delivery instrumentation, episiotomy, body mass index, product weight and tear´s degree were documented at the deliveries with tears of third and fourth degree.Results: The prevalence of third and fourth degree tears of 2.0% was found in the general population, being adolescents the most affected with 2.5%. The unadjusted odds ratio of high-grade tears in adolescent females at delivery, compared to adult females, was 1.36 (95% CI = 0.99-1.86, p= 0.05). No difference was found when comparing risk factors among high-grade tear deliveries in adolescents versus adults.Conclusions: A higher prevalence than previous reported for high grade tears during delivery was found. The data suggest adolescence as a risk factor for high-grade tears during delivery. 2018 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28358186003 https://www.redalyc.org/journal/283/28358186003/ https://www.redalyc.org/journal/283/28358186003/html/ https://www.redalyc.org/journal/283/28358186003/28358186003.epub https://www.redalyc.org/journal/283/28358186003/movil 10.25100/cm.v49i4.3515 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.49 |
| title | Prevalence of high-grade perineal tear during labor in Mexican adolescents |
| topic | Medicina parity delivery obstetric pregnancy Episiotomy |
| url | https://www.redalyc.org/articulo.oa?id=28358186003 https://www.redalyc.org/journal/283/28358186003/ https://www.redalyc.org/journal/283/28358186003/html/ https://www.redalyc.org/journal/283/28358186003/28358186003.epub https://www.redalyc.org/journal/283/28358186003/movil |