Prediction of Perineal Trauma During Childbirth by Assessment of Striae Gravidarum Score

Halperin, Ofra; Raz, Iris; Ben-Gal, Lotte; Or‐Chen, Keren; Granot, Michal

doi:10.1111/j.1552-6909.2010.01137.x

Cited by 20 publications

(35 citation statements)

References 23 publications

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“…The previously reported risk factors of third‐ and fourth‐degree tears in developed countries were mostly similar in our study in mainly developing countries. We focused on six main risk factors of third‐ and fourth‐degree tears, based on past findings: maternal age, 8–10,13,14 BMI, 22 parity, 3,6,9,10,15 infant birthweight, 3,6,14,15 instrumental delivery (forceps or vacuum), 4–6,8–16 and induction of labour 10 . First, we did not find any significant associations between maternal age and third‐ and fourth‐degree tears, although there was a tendency for older women to have higher ORs in Asia and Latin America.…”

Section: Discussionmentioning

confidence: 90%

Prevalence and risk factors for third‐ and fourth‐degree perineal lacerations during vaginal delivery: a multi‐country study

Hirayama

Koyanagi

Mori

et al. 2012

BJOG

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Objective To investigate the prevalence and risk factors of thirdand fourth-degree perineal lacerations in 24, mainly developing, countries.Design Analysis using cross-sectional data from the WHO Global Survey on Maternal and Perinatal Health.Setting Seven African, nine Asian and eight Latin American countries.Population Women at admission to hospital for delivery in 373 facilities between 2004 and 2008.Methods We estimated the country-wise prevalence of third-and fourth-degree perineal lacerations, and conducted region-wise multivariate logistic regression analyses to identify its risk factors.Main outcome measures Prevalence and risk factors of third-and fourth-degree perineal lacerations.Results A total of 214 599 women who underwent vaginal delivery were analysed. The prevalence of third-and fourth-degree perineal lacerations ranged widely across countries [from 0.1% (China, Cambodia, India) to 15.0% (Philippines)] and facilities (from null to 76.3%). After the deletion of facilities reporting no third-or fourth-degree perineal lacerations, and also highly outlying facilities, the range in prevalence was 0.1% (Uganda) to 1.4% (Japan). Forceps-assisted delivery, nulliparity and high birthweight were significant risk factors in all three regions. Vacuum-assisted delivery was also a significant risk factor in Africa and Asia.Conclusions Misdiagnosis of third-and fourth-degree perineal lacerations in developing countries may be common. Correct recognition and diagnosis may lead to timely treatment and fewer sequelae. Risk factors of third-and fourth-degree perineal lacerations in developing countries were similar to those previously reported from developed countries.Keywords Developing countries, multi-country study, third-and fourth-degree perineal lacerations.Please cite this paper as: Hirayama F, Koyanagi A, Mori R, Zhang J, Souza J, Gülmezoglu A. Prevalence and risk factors for third-and fourth-degree perineal lacerations during vaginal delivery: a multi-country study. BJOG 2012;119:340-347.

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Section: Discussionmentioning

confidence: 90%

Prevalence and risk factors for third‐ and fourth‐degree perineal lacerations during vaginal delivery: a multi‐country study

Hirayama

Koyanagi

Mori

et al. 2012

BJOG

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“…An association has been demonstrated between high BMI in pregnancy and the presence of striae gravidarum, which in turn is associated with collagen abnormalities leading to skin laxity and weaker mechanical properties . This could translate into a clinical association between striae gravidarum and perineal tearing . The protective effect of obesity might also be due to a thicker subcutaneous fat layer.…”

Section: Discussionmentioning

confidence: 99%

“…22 This could translate into a clinical association between striae gravidarum and perineal tearing. 23 The protective effect of obesity might also be due to a thicker subcutaneous fat layer. However, further biomechanical research is needed in this area.…”

Section: Discussionmentioning

confidence: 99%

Effect of body mass index on the incidence of perineal trauma

Durnea

Jaffery

Gauthaman

et al. 2017

Intl J Gynecology & Obste

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“…Halperin menjelaskan bahwa ada hubungan bermakna antara jumlah striae gravidarum dengan laserasi perineum, dan menyarankan metode skoring striae gravidarum untuk memprediksi laserasi perineum yang kemungkinan terjadi. 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.…”

Section: Pendahuluanunclassified

“…Penelitian Halperin et al menemukan bahwa striae gravidarum umumnya muncul di area perut, tetapi juga kerap muncul di paha, kemudian payudara dan pantat. 10 Halperin et al menyimpulkan bahwa striae gravidarum yang semakin banyak muncul di beberapa tempat akan memberikan skoring yang tinggi untuk skor striae total yang meningkatkan risiko laserasi perineum, meskipun secara analisa statistik regresi exact logistik l menunjukkan nilai yang tidak bermakna. 13 Hasil penelitian ini juga sesuai dengan penelitian Diana menyatakan striae gravidarum di area perut jumlah sedang-banyak berhubungan dengan laserasi perineum, subyek dengan striae gravidarum sedang/ banyak yang lebih banyak dilakukan episiotomi, yang mana episiotomi tersebut mengakibatkan laserasi perineum derajat III-IV.…”

Section: Gambar 1 Rancangan Penelitianunclassified

Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum

Khrisnamurti

Nurdiati²,

Setiyarini³

2018

Jurnal Kespro

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Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital. Result and Discussion:Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629). Conclusion:Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers. ABSTRAKLatar Belakang: Striae gravidarum adalah fenomena yang lazim terjadi pada ibu hamil dan merupakan penanda penurunan elastisitas kulit. Elastisitas perineum yang kurang baik dapat mengakibatkan laserasi perineum pada persalinan vaginal. Penelitian ini untuk mengetahui hubungan striae gravidarum dengan kejadian laserasi perinenum pada persalinan normal, dan faktor-faktor yang paling mempengaruhi terjadinya laserasi perineum ringan dan berat. Metode:Menggunakan cross sectional design, dengan sampel sebesar 188 responden. Penilaian striae gravidarum menggunakan metode Atwal et al (2006) yang telah dimodifikasi, penilaian laserasi perineum menggunakan metode RCOG (2006). Pengumpulan data dilakukan selama bulan April-Juli 2015 di kamar bersalin RSUD Panembahan Senopati Bantul. Hasil dan Pembahasan:Faktor-faktor yang mempengaruhi terjadinya laserasi ringan adalah striae gravidarum sedang-berat (RP 1,230: 95%IK 1,23053-1,23066), primipara (RP 1,2675: 95%IK 1,13709-1,41298). Faktor-faktor yang mempengaruhi terjadinya laserasi berat adalah striae gravidraum sedang-berat (RP 1,676: 95%IK 1,246-2,255), primipara (RP 1,117: 95%IK 1,1172-1,1175), posisi litotomi (RP 1,012: 95%IK 1,011-1,0629).Kesimpulan: Striae gravidarum merupakan salah satu faktor yang dapat mempengaruhi terjadinya laserasi perineum. Memeriksa striae gravidarum dapat untuk memperkirakan tingkat keparahan laserasi perineum, semakin banyak skor striae gravidarum semakin parah laserasi perineum yang mungkin dialami ibu bersalin.

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Prediction of Perineal Trauma During Childbirth by Assessment of Striae Gravidarum Score

Cited by 20 publications

References 23 publications

Prevalence and risk factors for third‐ and fourth‐degree perineal lacerations during vaginal delivery: a multi‐country study

Prevalence and risk factors for third‐ and fourth‐degree perineal lacerations during vaginal delivery: a multi‐country study

Effect of body mass index on the incidence of perineal trauma

Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum

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