Intrapartum cervical lacerations and their impact on future pregnancy outcome

Hamou, Batel; Coreanu, Tara; Walfisch, Asnat; Silberstein, Tali

doi:10.1080/14767058.2018.1505852

Cited by 12 publications

(9 citation statements)

References 26 publications

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“…Many factors can predispose to the development of preterm delivery, but it is useful to categorize preterm birth into three general etiologic groups: spontaneous labor with intact membranes, preterm premature rupture of membranes (PPROM) leading to preterm delivery, and labor induction due to maternal or fetal factors [ 4 , 10 ]. These categories each have their own common risk factors; for example, risk factors for PPROM-induced delivery include intrauterine infection [ 11 ], tobacco use [ 12 ], abruption [ 13 ], multiple gestations [ 14 ], previous PPROM [ 15 ], and cervical factors [ 16 , 17 ], among others. However, these risk factors are not exclusive to each etiologic group, and some can be risk factors for multiple groups.…”

Section: Introductionmentioning

confidence: 99%

Preterm Delivery; Who Is at Risk?

Kluwgant

Wainstock

Pariente

2021

JCM

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Preterm birth (PTB) is the leading cause of perinatal morbidity and mortality. Adverse effects of preterm birth have a direct correlation with the degree of prematurity, in which infants who are born extremely preterm (24–28 weeks gestation) have the worst outcomes. We sought to determine prominent risk factors for extreme PTB and whether these factors varied between various sub-populations with known risk factors such as previous PTB and multiple gestations. A population-based retrospective cohort study was conducted. Risk factors were examined in cases of extreme PTB in the general population, as well as various sub-groups: singleton and multiple gestations, women with a previous PTB, and women with indicated or induced PTB. A total of 334,415 deliveries were included, of which 1155 (0.35%) were in the extreme PTB group. Placenta previa (OR = 5.8, 95%CI 4.14–8.34, p < 0.001), multiple gestations (OR = 7.7, 95% CI 6.58–9.04, p < 0.001), and placental abruption (OR = 20.6, 95%CI 17.00–24.96, p < 0.001) were the strongest risk factors for extreme PTB. In sub-populations (multiple gestations, women with previous PTB and indicated PTBs), risk factors included placental abruption and previa, lack of prenatal care, and recurrent pregnancy loss. Singleton extreme PTB risk factors included nulliparity, lack of prenatal care, and placental abruption. Placental abruption was the strongest risk factor for extreme preterm birth in all groups, and risk factors did not differ significantly between sub-populations.

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Section: Introductionmentioning

confidence: 99%

Preterm Delivery; Who Is at Risk?

Kluwgant

Wainstock

Pariente

2021

JCM

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“…The mode of delivery in this patient's next pregnancy should be based on obstetric indications and concomitant consideration of the index cervical trauma. Understandably, vaginal birth following a previous cervical trauma is a known clinical practice [ 16 ]. Additionally, there are reports of vaginal birth in women who had POP during labour [ [17] , [18] , [19] ].…”

Section: Discussionmentioning

confidence: 99%

Childbirth resulting in traumatic stretching and prolapsing of the anterior lip of the cervix outside the vagina: A case report

Orji

Ngene

2022

Case Reports in Women's Health

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“…9 In contrast, Hamou et al evaluated the risk of CL in a subsequent pregnancy and found these women had more complications. 14 This retroactive review included 429 women who experienced a CL in a previous pregnancy and subsequently gave birth to another newborn. The results showed a significant risk for a repeat CL (odds ratio [OR], 29.3; 95% CI, 17.7-48.5), cesarean birth (OR 1.4, 95% CI, 1.1-1.9), and preterm birth (OR 1.8, 95% CI 1.1-2.8).…”

Section: Recurrent Risk In a Subsequent Pregnancymentioning

confidence: 99%

Cervical Lacerations: A Review of Risks

Salazar,

Grayson,

Tsamolias

2023

J Midwife Womens Health

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Cervical laceration (CL), although infrequent, is an often‐unrecognized complication of vaginal birth and can cause significant blood loss in the immediate postpartum period. The rate of clinically significant CL ranges from 0.14% to 0.2% of births. Nulliparity, operative vaginal birth, occiput posterior position of the fetus, induction of labor, and episiotomy have been cited as possible risk factors. Much of the available literature regarding CL, however, is dated or anecdotal, and there are varying and inconsistent risk associations with its occurrence. Given this unpredictability, CL should be considered in all women with immediate postpartum hemorrhage when there is difficulty obtaining hemostasis. Although midwives receive training about CLs, the low incidence may lead to delay in diagnosis and management. This Clinical Rounds case presents a composite case of postpartum hemorrhage caused by a CL. Risk factors, diagnosis and midwifery management are discussed.

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Intrapartum cervical lacerations and their impact on future pregnancy outcome

Abstract: A history of intrapartum cervical laceration is an independent risk factor for recurrent cervical lacerations, CD, preterm delivery, and severe perineal lacerations in the subsequent pregnancy.

Cited by 12 publications

References 26 publications

Preterm Delivery; Who Is at Risk?

Preterm Delivery; Who Is at Risk?

Childbirth resulting in traumatic stretching and prolapsing of the anterior lip of the cervix outside the vagina: A case report

Cervical Lacerations: A Review of Risks

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