What question did this study set out to answer?

To determine the risk factors associated with severe third- and fourth-degree perineal tears and identify strategies for prevention.

January 1, 2002American Journal of Perinatology

Risk Factors for Severe Perineal Tear: Can We Do Better?

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To determine the risk factors associated with severe third- and fourth-degree perineal tears and identify strategies for prevention.
Retrospective analysis of a prospectively collected computerized perinatal database from a single county hospital covering births between January 1, 1993, and June 30, 1998.
Evaluated 23,244 singleton vaginal vertex deliveries using univariate and multiple logistic regression analyses, including all two-way interaction terms.
Severe perineal tears occurred in 8.2% (1,905 of 23,244) of analyzed vaginal deliveries.
Multiple logistic regression identified midline episiotomy, primary vaginal delivery, pudendal block anesthesia, forceps delivery, and fetal birth weight over 4,000 g as significant independent risk factors.
Interaction analyses demonstrated that mediolateral episiotomy increased the risk of severe tears during a first vaginal delivery, but not during repeat vaginal deliveries.

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Implication

Retrospective analysis reveals midline episiotomy, forceps, and high birth weight increase severe perineal tear risk, indicating modifiable delivery techniques can improve outcomes.

Cite This Study

Riskin‐Mashiah et al. (2002) studied this question.

synapsesocial.com/papers/6a1c151d00ee29383e9d6d94 https://doi.org/10.1055/s-2002-33088

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Implication

Retrospective analysis reveals midline episiotomy, forceps, and high birth weight increase severe perineal tear risk, indicating modifiable delivery techniques can improve outcomes.

Risk Factors for Severe Perineal Tear: Can We Do Better?

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Discussion

Implication

Cite This Study

Risk Factors for Severe Perineal Tear: Can We Do Better?

Key Points

Discussion

Implication

Cite This Study

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