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Published on: May 9, 2013
Prevalence and Location of Obstetric Lacerations in Adolescent Mothers
David Shveiky1, Loral Patchen2, Henry H Chill1
1Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Study Objective:
The objective of this study was to describe prevalence and location of obstetric lacerations in adolescents.
Design:
Retrospective cohort study.
Setting:
We performed an analysis of the Consortium on Safe Labor database including tertiary care university-affiliated urban hospitals.
Participants:
All primiparous women who delivered vaginally were included.
Interventions:
Vaginal and perineal lacerations were compared between age groups 15 or younger, 16-21, 22-34, 35-39, and older than 40 years.
Main Outcome Measures:
Outcome measures included vaginal, perineal, labial, and periurethral lacerations. χ2 and Fisher exact tests were used as appropriate, with P < .05 considered significant.
Results:
A total of 9777 patients were included in the analysis. Young adolescents and adolescents had significantly higher rates of labial and periurethral lacerations compared with individuals aged 22-34 years. The prevalence of third- and fourth-degree perineal tears increased with age.
Conclusion:
Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.
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