INTERVENTION DURING LABOR - RISK-FACTORS ASSOCIATED WITH COMPLETE TEAR OF THE ANAL-SPHINCTER

被引:47
作者
BEK, KM
LAURBERG, S
机构
[1] AARHUS UNIV HOSP,DEPT SURG SECT,DK-8000 AARHUS,DENMARK
[2] AARHUS UNIV,INST EXPTL CLIN RES,DK-8000 AARHUS,DENMARK
关键词
PERINEAL LACERATIONS; FORCEPS DELIVERIES; MEDIOLATERAL EPISIOTOMY; OBSTETRIC ANAL SPHINCTER TEAR; RISK FACTORS;
D O I
10.3109/00016349209041443
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Among 41,200 consecutive deliveries there were 152 cases of complete tear of the anal sphincter (complete tear). In a case-control design, the association between interventions during labor (forceps, vacuum extraction, use of oxytocin and prostaglandins and mediolateral episiotomy) and complete tear, were evaluated by confounder control using multiple logistic regression analysis. Controls chosen were the patients delivering just before and after the index patient with complete tear. Use of Kielland forceps, mediolateral episiotomy, shoulder dystocia and nulliparity were significantly associated with complete tear. Maternal age, presentation in labor, duration of second stage of labor and the indication for instrumental deliveries and episiotomy had no significant association with complete tear.
引用
收藏
页码:520 / 524
页数:5
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