Abstract
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.
Key Words
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Article info
Publication history
Published online: November 14, 2018
Footnotes
Dr Patchen reports personal fees from Duschenay Pharmaceuticals, outside the submitted work. The remaining authors indicate no conflicts of interest.
Identification
Copyright
© 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
