Prevalence of high-grade perineal tear during labor in Mexican adolescents

Sánchez-Ávila, María Teresa; Galván-Caudillo, Marisol; Cantú-Pompa, Jaime Javier; Vázquez-Romero, Natalia; Martínez-López, Jhanea Patricia; Matías-Barrios, Víctor Manuel; Avitia-Herrera, Abryl Mariana; Morales-Garza, Luis Alonso; Hernández-Escobar, Claudia E.; Soto-Fuenzalida, Gonzalo Andrés; González‐Garza, María Teresa

doi:10.25100/cm.v49i4.3515

Cited by 10 publications

(12 citation statements)

References 26 publications

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“…Adolescents accounted for 60 cases (33.5%), for a prevalence of 2.5% of tears in this age group, higher than the prevalence of adult women (1.8%). 19 The results of our study indicate that the most common indication for caesarean section in adolescent mothers was fetal asphyxia (28.0%).…”

Section: Discussionmentioning

confidence: 62%

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Comparison of the course of labour in adolescent mothers (aged ≤17 years) and young women (aged 18-19 years)

et al. 2021

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Introduction: Adolescent motherhood is associated with a high risk of health problems due to the unfinished process of biological development of the body. Aim: To compare the course of labour among adolescent mothers (aged up to 17 years) and young women (aged 18–19 years). Material and methods: The study was performed on the basis of a retrospective analysis of medical records from 2010 to 2018 in one of the clinical hospitals in Poland. The analysis included the births given by 133 adolescent mothers and 169 young women. Results and discussion: There was a downward trend in the percentage of births given by adolescent mothers and young women over a 9-year period. The placenta of adolescent women was lighter, by 25 g on average (P = 0.011), and had a smaller size (P = 0.038) than the placenta of young women. In adolescent women, pregnancy-related complications were significantly more often associated with pregnancy-induced hypertension (P = 0.037), and in young women with gestational diabetes (P = 0.003). The rapture of membranes was observed significantly more often at the first stage of labour among mothers aged 18–19 years than in mothers aged up to 17 years (P = 0.043). Conclusions: A decrease in the number of births given by adolescent mothers and young women over 9 years was demonstrated. Among adolescent mothers a pregnancy-related complication was pregnancy-induced hypertension. The placenta of adolescent mothers was significantly lighter and smaller than of young women. The rapture of membranes (in the first stage of labour) concerned more often women aged 18–19 years.

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Section: Discussionmentioning

confidence: 62%

“…There was a downward trend of pregnancies in the study groups. Complications related to pregnancy and childbirth are the main cause of death of[15][16][17][18][19]…”

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confidence: 99%

Comparison of the course of labour in adolescent mothers (aged ≤17 years) and young women (aged 18-19 years)

et al. 2021

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“…The search scheme is shown in Figure 1. As for the year of publication, 2 were published in 2014, 3,4 7 in 2015, [5][6][7][8][9][10][11] 6 in 2016, [12][13][14][15][16][17] 8 in 2017, [18][19][20][21][22][23][24][25] 5 in 2018, [26][27][28][29][30] 17) and 1 that did not specify the method of data collection. 14 The studies had age groups for adolescents and for the control group variables.…”

Section: Resultsmentioning

confidence: 99%

Obstetric and perinatal outcomes in teenage pregnancy: a literature review

Rey¹,

Paller²,

Feldman³

et al. 2021

IJFCM

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Pregnancy during adolescence continues to be a frequent situation, mostly in developing countries. Maternal age is a key element to be taken into account when managing obstetric patients, as it is related with obstetric and perinatal outcomes. We conducted a literature review to address the obstetric results of pregnancy in teenage mothers. We reviewed articles for the last 5 years in different databases including ‘Pregnancy’, ‘Teenager’, ‘Adolescent’, ‘Complications’ and ‘Outcomes’ as key words. We obtained 2260 articles after the initial search, but only 28 met the inclusion criteria and were therefore reviewed. Most studies were excluded for not clearly specifying one of more groups of teenage patients, lacking comparison of these groups with no-teenage patients, or not addressing the obstetric outcomes of those pregnancies. The outcomes were divided into complications of pregnancy, childbirth, puerperium and neonatal complications. We found that there is an association between young maternal age and preterm birth, pre-eclampsia/eclampsia, fetal growth restriction and stillbirth, among others. For the newborn we found outcomes such as low APGAR scores and admission to intensive care were more frequent in teenage mothers. We conclude that maternal age is an important feature, as there are several obstetric and perinatal compications that are more frequent in teenage mothers than in other age groups.

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“…Although over the past years the mean age of Romanian women at the birth of the first child has been constantly increasing, 11.2% of first-born babies in 2019 belonged to mothers of 10 to 19 years of age [ 6 , 7 ]. Teenage mothers represent a vulnerable group for the development of high-grade perineal tears during spontaneous vaginal birth [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have identified primiparity, fetal weight higher than 4000 g, operative delivery, the prolonged second stage of labor, and shoulder dystocia as the most often cited risk factors for severe lacerations [ 14 ]. Specifically, in the adolescent population, risk factors for perineal tears of primiparity, fetal position, gestational diabetes, and duration of the second stage of labor have already been documented [ 8 ]. The long-term complications associate medico-legal repercussions and increased health care costs, especially since studies on young women with pelvic floor symptoms proved that they may be at risk for increased severity of these conditions later in life [ 8 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population

Matei

Poenaru

Dimitriu

et al. 2021

IJERPH

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Romania is a country with high rates of adolescent births, associating scarce comprehensive obstetrical management with this specific population. This research aims to assess soft tissue trauma after vaginal birth in teenage mothers compared to their adult counterparts. A retrospective case-control study was conducted for one year in two hospitals. All vaginal deliveries were considered; the age cut-off value was considered at 20 years old for case and control groups. Lacerations were divided into three subgroups, considering the involved anatomical region; group I: labial and periurethral lacerations, group II: vaginal and perineal lacerations, and group III: cervical lacerations. There were 1498 women included in the study: 298 young mothers and 1200 adults. Teenagers were more likely to have an episiotomy during vaginal delivery compared to adult women: 56% versus 26.7% (p = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: p = 0.01, Pearson Chi-square test with Bonferroni correction: OR = 1.89, 95% CI: 1.18–3.02. Group II lacerations were the most frequent type of birth trauma in both study groups. Fetal weight ≥4000 g was associated with a two times higher risk for vaginal and perineal lacerations when age criterion was not considered (OR = 1.98, 95% CI: 1.13–3.47, p = 0.01). The incidence of group I and II lacerations increased with age: from 0% and 9.1% between 10 and 14 years old to 6% and 26.2% between 18 and 19 years old. All groups of lacerations were more often identified in the case group, compared to the adult group. Fetal macrosomia and spontaneously ruptured membranes at admission could not be documented as risk factors for obstetrical injury in young mothers. Episiotomy performed in teenagers was not a protective procedure for group II lacerations.

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Prevalence of high-grade perineal tear during labor in Mexican adolescents

Cited by 10 publications

References 26 publications

Comparison of the course of labour in adolescent mothers (aged ≤17 years) and young women (aged 18-19 years)

Comparison of the course of labour in adolescent mothers (aged ≤17 years) and young women (aged 18-19 years)

Obstetric and perinatal outcomes in teenage pregnancy: a literature review

Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population

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