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01-12-2007 | Original Article

Decreased rate of obstetrical anal sphincter laceration is associated with change in obstetric practice

Authors: Steven M. Minaglia, Begüm Özel, Nicole M. Gatto, Lisa Korst, Daniel R. Mishell Jr, David A. Miller

Published in: International Urogynecology Journal | Issue 12/2007

Abstract

A study was conducted to describe the rate of obstetrical anal sphincter laceration in a large cohort of women and to identify the characteristics associated with this complication. Data from all vaginal deliveries occurring between January 1996 and December 2004 at one institution were used to compare women with and without anal sphincter lacerations. Among 16,667 vaginal deliveries, 1,703 (10.2%) anal sphincter lacerations occurred. Regression models suggested that episiotomy (OR 1.36; 95% CI 1.16, 1.58), vacuum delivery (OR 3.19; 95% CI 2.69, 3.79), and forceps delivery (OR 2.79; 95% CI 1.94, 4.02) were each associated with the increased risk of anal sphincter laceration. Year of delivery was associated with a decreased risk of anal sphincter laceration (OR 0.94; 95% CI 0.92, 0.96) with the rate of laceration decreasing from 11.2% to 7.9% during the study period. Episiotomy and operative vaginal delivery are significant, modifiable risk factors. Changes in obstetric practice may have contributed to the dramatic reduction in anal sphincter laceration during the study period.

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Title: Decreased rate of obstetrical anal sphincter laceration is associated with change in obstetric practice
Authors: Steven M. Minaglia
Begüm Özel
Nicole M. Gatto
Lisa Korst
Daniel R. Mishell Jr
David A. Miller
Publication date: 01-12-2007
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 12/2007
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-007-0353-5

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Decreased rate of obstetrical anal sphincter laceration is associated with change in obstetric practice

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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