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Perineal laceration

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https://www.readbyqxmd.com/read/27802555/promote-study-safety-of-osteopathic-manipulative-treatment-during-the-third-trimester-by-labor-and-delivery-outcomes
#1
Kendi L Hensel, Brandy M Roane, Anita Vikas Chaphekar, Peggy Smith-Barbaro
BACKGROUND: Few quality data exist on the safety of osteopathic manipulative treatment (OMT) during pregnancy. The Pregnancy Research on Osteopathic Manipulation Optimizing Treatment Effects (PROMOTE) study was a randomized controlled clinical trial that studied the application of an OMT protocol to manage pain and dysfunction in pregnant patients during their third trimester. OBJECTIVE: To evaluate the safety of an OMT protocol applied during the third trimester of pregnancy by analyzing incidence of high-risk status and labor and delivery outcomes...
November 1, 2016: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/27797099/the-effect-of-perineal-lacerations-on-pelvic-floor-function-and-anatomy-at-6-months-postpartum-in-a-prospective-cohort-of-nulliparous-women
#2
Lawrence Leeman, Rebecca Rogers, Noelle Borders, Dusty Teaf, Clifford Qualls
OBJECTIVE: To determine the effect of perineal lacerations on pelvic floor outcomes, including urinary and anal incontinence, sexual function, and perineal pain in a nulliparous cohort with low incidence of episiotomy. METHODS: Nulliparous women were prospectively recruited from a midwifery practice. Pelvic floor symptoms were assessed with validated questionnaires, physical examination, and objective measures in pregnancy and 6 months postpartum. Two trauma groups were compared, those with an intact perineum or only 1st degree lacerations and those with second-, third-, or fourth-degree lacerations...
December 2016: Birth
https://www.readbyqxmd.com/read/27752911/prevalence-and-risk-factors-of-urinary-incontinence-among-perimenopausal-women-in-wuhan
#3
Shi Lu, Hong-Ling Zhang, Ya-Jun Zhang, Qing-Chun Shao
This study investigated the prevalence and risk factors of urinary incontinence (UI) among perimenopausal women in Wuhan. A cross-sectional survey was performed on 1067 women aged 40-65 years sampled in Wuhan urban area from April to October 2014. Information about demographic characteristics, menstruation, parity and UI symptoms was collected using a questionnaire. The data were evaluated by Chi-square test and multiple Logistic regression analysis. The prevalence rate of UI was 37.2%, with stress UI (32.2%) being more prevalent than urgency UI (21...
October 2016: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/27751429/repair-of-old-perineal-laceration-accompanied-by-rectovaginal-fistula-using-levator-ani-muscle-interposition
#4
Shintaro Makino, Jun Takeda, Satoru Takeda
No abstract text is available yet for this article.
October 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27582577/induction-of-labour-in-late-and-postterm-pregnancies-and-its-impact-on-maternal-and-neonatal-outcome
#5
F Thangarajah, P Scheufen, V Kirn, P Mallmann
INTRODUCTION: This study aimed to determine the effects of induction of labour in late-term pregnancies on the mode of delivery, maternal and neonatal outcome. METHODS: We retrospectively analyzed deliveries between 2000 and 2014 at the University Hospital of Cologne. Women with a pregnancy aged between 41 + 0 to 42 + 6 weeks were included. Those who underwent induction of labour were compared with women who were expectantly managed. Maternal and neonatal outcomes were evaluated...
July 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27549862/episiotomy-and-the-risk-of-severe-perineal-injuries-among-korean-women
#6
Ha Yan Kwon, Hyun Soo Park
PURPOSE: We examined the frequency of severe perineal injuries according to the use of episiotomy in vaginal deliveries of Korean women. MATERIALS AND METHODS: This is a retrospective cohort study in which 358 consecutive parturients were included. Women were divided into episiotomy (n = 115) and no episiotomy (n = 243) groups. The main outcome was the occurrence of severe (third- or fourth-degree) perineal injuries. Delivery records and medical documents were reviewed to collect the data...
August 22, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27549142/fetal-macrosomia-as-a-risk-factor-for-shoulder-dystocia-during-vacuum-extraction
#7
Shmuel Herzberg, Doron Kabiri, Tzlil Mordechai, Rani Haj Yahya, Henry Chill, Lorinne Levitt, Hagai Amsalem, Yossef Ezra
OBJECTIVE: Vacuum extraction of a macrosomic fetus is considered a risk factor for shoulder dystocia (SD). We evaluated maternal and fetal outcomes following vacuum extraction of macrosomic infants. METHODS: A retrospective cohort study conducted in two large teaching hospitals. All deliveries of macrosomic infants by vacuum extraction and vaginal delivery were compared. The primary outcome measure was SD. Secondary outcome measures were severe perineal lacerations and postpartum hemorrhage...
August 23, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27548421/committee-opinion-no-647-limitations-of-perineal-lacerations-as-an-obstetric-quality-measure
#8
(no author information available yet)
Perineal lacerations are a common occurrence with vaginal delivery. Although perineal lacerations are tracked easily from coding data, there are a variety of problems with using rates of such tears as a quality measure. The rate of severe perineal lacerations should not be used as a measure of obstetric quality for the following three reasons: 1) third-degree and fourth-degree perineal lacerations may not be defined uniformly; 2) severe perineal lacerations are associated strongly with nonmodifiable risk factors; and 3) diminishing the use of operative vaginal delivery, in an effort to decrease severe perineal lacerations, likely would result in an increased rate of cesarean delivery...
May 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27548419/committee-opinion-no-647-summary-limitations-of-perineal-lacerations-as-an-obstetric-quality-measure
#9
(no author information available yet)
Perineal lacerations are a common occurrence with vaginal delivery. Although perineal lacerations are tracked easily from coding data, there are a variety of problems with using rates of such tears as a quality measure. The rate of severe perineal lacerations should not be used as a measure of obstetric quality for the following three reasons: 1) third-degree and fourth-degree perineal lacerations may not be defined uniformly; 2) severe perineal lacerations are associated strongly with nonmodifiable risk factors; and 3) diminishing the use of operative vaginal delivery, in an effort to decrease severe perineal lacerations, likely would result in an increased rate of cesarean delivery...
May 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27517050/delivery-after-operation-for-deeply-infiltrating-endometriosis
#10
Christina Allerstorfer, Peter Oppelt, Simon H Enzelsberger, Andreas Shamiyeh, Wolfgang Schimetta, Omar Josef Shebl, Richard Bernhard Mayer
Background. It has been suggested that, during pregnancy, endometriosis can cause a variety of disease-related complications. Objectives. The purpose of the study was to find out if women with histologically confirmed endometriosis do have a higher risk of adverse pregnancy outcome and if they suffer from a higher rate of complications during labor. Study Design. 51 women who underwent surgery because of deeply infiltrating endometriosis in the General Hospital Linz and the Women's General Hospital Linz and who gave birth in the Women's General Hospital Linz after the surgery were included in our survey...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27500334/simulation-training-for-forceps-assisted-vaginal-delivery-and-rates-of-maternal-perineal-trauma
#11
Dana R Gossett, Douglas Gilchrist-Scott, Diane B Wayne, Susan E Gerber
OBJECTIVE: To evaluate the association of a forceps simulation training curriculum for obstetrics residents on rates of severe perineal lacerations after forceps deliveries. METHODS: This was a retrospective cohort study. We created a novel simulation curriculum for forceps-assisted vaginal delivery based on the best practices of local experts, and trained all residents beginning in 2013. We then retrospectively reviewed all forceps deliveries performed in the 2...
September 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27463109/labor-stimulation-with-oxytocin-effects-on-obstetrical-and-neonatal-outcomes
#12
Pedro Hidalgo-Lopezosa, María Hidalgo-Maestre, María Aurora Rodríguez-Borrego
OBJECTIVE: to evaluate the effects of labor stimulation with oxytocin on maternal and neonatal outcomes. METHOD: descriptive and analytical study with 338 women who gave birth at a tertiary hospital. Obstetric and neonatal variables were measured and compared in women submitted and non-submitted to stimulation with oxytocin. Statistics were performed using Chi-square test, Fisher exact test, Student t-test; and crude Odds Ratio with 95% confidence interval were calculated...
2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27399925/selective-episiotomy-indications-techinique-and-association-with-severe-perineal-lacerations
#13
Mário Dias Corrêa Junior, Renato Passini Júnior
Introduction Episiotomy is a controversial procedure, especially because the discussion that surrounds it has gone beyond the field of scientific debate, being adopted as an indicator of the "humanization of childbirth". The scientific literature indicates that episiotomy should not be performed routinely, but selectively. Objectives To review the literature in order to assess whether the implementation of selective episiotomy protects against severe perineal lacerations, the indications for the procedure, and the best technique to perform it...
June 2016: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/27379381/birthing-postures-and-birth-canal-lacerations
#14
Shunji Suzuki
OBJECTIVE: This study was performed to assess the differences in the birth canal lacerations following the lateral and fours posture deliveries compared with those following the supine posture deliveries. METHODS: We examined the birth canal lacerations of our 'low risk' pregnant women under the midwife-led delivery care at Japanese Red Cross Katsushika Maternity Hospital between April 2006 and March 2015. RESULTS: There were 3,826, 1,754 and 719 women who delivered with supine, lateral and fours postures...
July 5, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27350967/severe-perineal-lacerations-in-obstetric-practice-the-effect-of-institutional-practice-guidelines-on-repair-failures-in-a-single-centre
#15
Shamir O Cawich, Dwayne Wright, Santosh Kulkarni, Carol Rattray, Ian Bambury, Loxley Christie, Vijay Naraynsingh
Background. There is a high incidence of failure after repair of severe perineal lacerations (SPLs). A tertiary referral hospital in the Caribbean introduced guidelines in an attempt to improve outcomes. We performed an audit of SPL repairs at this centre in an attempt to determine the effect on repair failure. Methods. All patients with SPL repairs between November 1, 2007, and December 30, 2012, were identified. The primary aim was to determine the incidence of failed repairs (wound dehiscence, anal sphincter disruption, rectovaginal fistula, and/or faecal incontinence)...
2014: International Scholarly Research Notices
https://www.readbyqxmd.com/read/27333357/practice-bulletin-no-165-prevention-and-management-of-obstetric-lacerations-at-vaginal-delivery
#16
(no author information available yet)
Lacerations are common after vaginal birth. Trauma can occur on the cervix, vagina, and vulva, including the labial, periclitoral, and periurethral regions, and the perineum. Most of these lacerations do not result in adverse functional outcomes. Severe perineal lacerations, extending into or through the anal sphincter complex, although less frequent, are more commonly associated with increased risk of pelvic floor injury, fecal and urinary incontinence, pain, and sexual dysfunction with symptoms that may persist or be present many years after giving birth...
July 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27333355/practice-bulletin-no-165-summary-prevention-and-management-of-obstetric-lacerations-at-vaginal-delivery
#17
(no author information available yet)
Lacerations are common after vaginal birth. Trauma can occur on the cervix, vagina, and vulva, including the labial, periclitoral, and periurethral regions, and the perineum. Most of these lacerations do not result in adverse functional outcomes. Severe perineal lacerations, extending into or through the anal sphincter complex, although less frequent, are more commonly associated with increased risk of pelvic floor injury, fecal and urinary incontinence, pain, and sexual dysfunction with symptoms that may persist or be present many years after giving birth...
July 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27315791/benign-intestinal-glandular-lesions-in-the-vagina-a-possible-correlation-with-implantation
#18
Weiwei Lu, Xiaofei Zhang, Bingjian Lu
BACKGROUND: Enteric-type glandular lesions are extremely rare in the vagina. Their histological origin remains a matter of speculation at present. METHOD: We review two rectal mucosal prolapse-like polyps and one intestinal-type adenosis in the vagina. RESULTS: Case 1, a 64-year-old woman, presented with a vaginal polypoid lesion with a size of 4 × 3 × 3 cm. Case 2, an 8-year-old girl, had a 1.5 × 1.5 × 0.8-cm pedunculated polyp in the vaginal navicular fossa and a clinically suspected rectovaginal fistula...
2016: Diagnostic Pathology
https://www.readbyqxmd.com/read/27274869/obesity-may-be-protective-against-severe-perineal-lacerations
#19
Diana Garretto, Brian B Lin, Helen L Syn, Nancy Judge, Karen Beckerman, Fouad Atallah, Arnold Friedman, Michael Brodman, Peter S Bernstein
Objective. To determine if there is an association between BMI and 3rd- or 4th-degree perineal lacerations in normal spontaneous and operative vaginal deliveries. Study Design. We performed a retrospective case control study using a large obstetric quality improvement database over a six-year period. Cases were identified as singleton gestations with third- and fourth-degree lacerations. Controls were obtained randomly from the database of patients without third- or fourth-degree lacerations in a 1 : 1 ratio...
2016: Journal of Obesity
https://www.readbyqxmd.com/read/27185318/sexual-activity-and-dyspareunia-the-first-year-postpartum-in-relation-to-degree-of-perineal-trauma
#20
Kathrine Fodstad, Anne Cathrine Staff, Katariina Laine
INTRODUCTION AND HYPOTHESIS: Knowledge on sexual complaints and time to sexual resumption after obstetric anal sphincter injury (OASI) is scarce. The aim of the study was to investigate self-reported sexual activity and coital problems 1 year postpartum in relation to perineal trauma, in addition to delivery mode. METHODS: Among 2,846 women recruited during pregnancy, all women who delivered with OASI (n = 42, all third-degree perineal tears), in addition to 20 randomly selected controls per OASI case, a total of 882 women, were sent a self-administered questionnaire addressing time to coital resumption after delivery and potential coital difficulty 1 year postpartum...
October 2016: International Urogynecology Journal
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