The objective of this study was to describe prevalence and location of obstetric lacerations in adolescents.
Retrospective cohort study.
We performed an analysis of the Consortium on Safe Labor database including tertiary care university-affiliated urban hospitals.
All primiparous women who delivered vaginally were included.
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.
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.
Adolescent primiparous women are less likely to have severe perineal obstetric tears, but have higher rates of labial and periurethral tears.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Pediatric and Adolescent Gynecology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Births: final data for 2014.Natl Vital Stat Rep. 2015; 64: 1
- Preventing unintended pregnancies by providing no-cost contraception.Obstet Gynecol. 2012; 120: 1291
- Teen pregnancy and high school dropout: what communities can do to address these issues.The National Campaign to Prevent Teen and Unplanned Pregnancy, Washington, DC2012
- Young adult outcomes of children born to teen mothers: effects of being born during their teen or later years.J Am Acad Child Adolesc Psychiatry. 2011; 50: 232
- Pregnancy in early adolescence: are there obstetric risks?.J Matern Fetal Med. 1996; 5: 333
- Complications in adolescent pregnancy: systematic review of the literature.Einstein (Sao Paulo). 2015; 13: 618
- Adverse maternal and neonatal outcomes in adolescent pregnancy.J Pediatr Adolesc Gynecol. 2016; 29: 130
- Cellular and biochemical mechanisms, risk factors and management of preterm birth: state of the art.Minerva Ginecol. 2014; 66: 589
- Risk factors for perineal lacerations in teen deliveries.Female Pelvic Med Reconstr Surg. 2010; 16: 345
- The association between young maternal age and pregnancy outcome.J Matern Fetal Neonatal Med. 2013; 26: 1554
- Obstetric perineal injury and anal incontinence.Clin Risk. 1999; 5: 193
- Labor and delivery outcomes among young adolescents.Am J Obstet Gynecol. 2015; 213: 95.e1
- Characteristics associated with severe perineal and cervical lacerations during vaginal delivery.Obstet Gynecol. 2011; 117: 627
- Contraceptive choices pre and post pregnancy in adolescence.J Pediatr Adolesc Gynecol. 2015; 28: 24
- Contraception for the adolescent patient.Obstet Gynecol Surv. 2015; 70: 263
- Sexual function and quality of life of women adopting the levonorgestrel-releasing intrauterine system (LNG-IUS 13.5 mg) after abortion for unintended pregnancy.Eur J Contracept Reprod Health Care. 2018; 23: 24
Published online: November 14, 2018
Dr Patchen reports personal fees from Duschenay Pharmaceuticals, outside the submitted work. The remaining authors indicate no conflicts of interest.
© 2018 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.