Prediction of perineal tear during childbirth by assessment of striae gravidarum score

Abstract

Background:The objective of this study was to explore the association between striae gravidarum and the risk for perineal tear during childbirth. Methods: Three hundred patients delivered normally were included in this study. Striae gravidarum score was assessed using the Atwal numerical scoring system. The association was examined between striae and perineal tear as the outcome measure, defined by tears or laceration, and the total striae scores (TSS) was obtained. Results: Mean age was 25.41 years ranging from 20 -30 years, mean gravidity was 2.27 ranging from 1 -5, mean weight gain was 9.72 Kg ranging from 5 -16 Kgs and average baby birth weight was 2.8 Kg ranging from 2.1 -3.5 Kg. The only predictors of perineal tears that were found to be statistically significant in our study were Severity of striae gravidarum and Episiotomy given or not. In patients with moderate to severe striae there was tear in 105 patients as compared to 45 patients with no or mild striae. 89 patients belonging to no or mild striae group delivered without any perineal tear whereas 61 patients in moderate to severe striae group delivered without perineal tear. It is observed that episiotomy has some protective effect against perineal tear. Conclusions: This study demonstrates a significant relation between severity of striae gravidarum and perineal tear. The findings suggest that striae gravidarum assessment may be used in the clinical setting even by paramedical staff as a simple and noninvasive tool to better define women at risk for perineal tear.

Preoperative Association of Abdominal Striae Gravidarum with Intraabdominal Adhesions in Pregnant Women with a History of Previous Cesarean Section: a Cross-sectional Study

“…As expected and previously showed by others [1,3], our study found a statistically significant association between abdominal adhesions and the number of previous cesarean sections. Kapadia et al reported on the effect of connective tissue collagen on skin elasticity [18]. They found that perineal lacerations were more common during vaginal delivery in patients with striae gravidarum secondary to defective collagen synthesis.…”

Prediction of Perineal Tear During Childbirth by the Assessment of Striae Gravidarum Score

“…Therefore, this study found that episiotomy has some protective effect against PT. Kapadia et al 13 also showed similar result. To investigate the role of SG score in predicting the risk for PT, logistic regression analysis was done considering TSS, weight gain during pregnancy and birth weight of newborns among the 126 women in whom episiotomy was not performed.…”

Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum

“…10 Striae gravidarum merupakan penanda elastisitas kulit dan otot, sehingga sangat penting melakukan investigasi striae gravidarum pada wanita hamil yang akan menjalani persalinan karena berhubungan dengan bagaimana penolong melakukan tindakan menjaga keutuhan perineum atau meminimalkan laserasi perineum pada persalinan. 11 Hipotesis penelitian ini adalah wanita dengan striae gravidarum sedang-berat cenderung mengalami laserasi perineum dibandingkan dengan wanita tanpa striae gravidarum-striae gravidarum ringan.…”

“…15 Kolagen, elastin, dan serat fibrilin menurun pada wanita dengan striae gravidarum dibandingkan dengan wanita dengan kulit yang utuh tanpa striae gravidraum. 11 Primigravida lebih banyak memiliki skor striae gravidarum yang lebih tinggi dibandingkan dengan multigravida. 16 Striae gravidarum sendiri tidak dapat ditunjuk sebagai penyebab langsung trauma perineum, tetapi striae gravidarum merupakan atribut penurunan elastisitas kulit yang diidentifikasi memiliki tendensi terhadap trauma perineum.…”