The association of maternal obesity and obstetric anal sphincter injuries at time of vaginal delivery

Tavakoli, Amin; Panchal, Viraj R.; Mazza, Genevieve R.; Mandelbaum, Rachel S.; Ouzounian, Joseph G.; Matsuo, Koji

doi:10.1016/j.xagr.2023.100272

AJOG Global Reports

2023

DOI: 10.1016/j.xagr.2023.100272

|View full text |Cite

The association of maternal obesity and obstetric anal sphincter injuries at time of vaginal delivery

Amin Tavakoli,

Viraj R. Panchal,

Genevieve R. Mazza

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Postura vertical y desgarros perineales en partos humanizados

Cavallari-Drey,

Ortiz-Llorens

2024

Rev. Bras. Saude Mater. Infant.

View full text Add to dashboard Cite

Resumen Objetivos: determinar la asociación entre postura de parto vertical y desgarros perineales grado II o más en mujeres atendidas bajo el modelo humanizado. Métodos: se estudiaron 715 registros clínicos de partos humanizados atendidos entre 2016 y 2022 en Viña del Mar, Chile, mediante análisis bivariado y regresión logística binaria. Resultados: el 64.1% de las mujeres presentó lesiones perineales, principalmente de bajo grado (51.2%). Los desgarros de segundo grado o más representaron un 12.2% (mayoritariamente grado II), siendo muy escasos los desgarros grado III (0.7%) y nulos los desgarros grado IV. Las posturas verticales, en comparación a las horizontales, se asociaron significativamente a la presencia de desgarros grado II o más (p=0.02), incluso luego de ajustar por variables maternas y neonatales (OR=2.31, IC95%=1.11-4.81). De estas últimas, la paridad y la talla del recién nacido fueron los factores que más se asociaron con este tipo de lesiones. Conclusión: los partos humanizados en general presentan una menor frecuencia y gravedad de lesiones perineales que lo reportado en atenciones tradicionales, no obstante, las posturas verticales, en comparación a las horizontales, se asociaron significativamente a la presencia de desgarros grado II o más.

show abstract

Postura vertical y desgarros perineales en partos humanizados

Cavallari-Drey,

Ortiz-Llorens

2024

Rev. Bras. Saude Mater. Infant.

View full text Add to dashboard Cite

show abstract

Vertical posture and perineal tears in humanized childbirths

Cavallari-Drey,

Ortiz-Llorens

2024

Rev. Bras. Saude Mater. Infant.

View full text Add to dashboard Cite

Objectives: to determine the association between vertical childbirth posture and grade II or higher perineal tears in women attended under a humanized model. Methods: 715 clinical records of humanized deliveries attended between 2016 and 2022 in Viña del Mar, Chile, were studied using bivariate analysis and binary logistic regression. Results: 64.1% of the women presented perineal lesions, mainly low grade (51.2%). Second degree tears or more represented 12.2% (mostly grade II), with very few grade III tears (0.7%) and zero grade IV tears. Vertical postures, compared to horizontal ones, were significantly associated with the presence of grade II tears or more (p=0.02), even after adjusting for maternal and neonatal variables (OR=2.31, CI95%=1.11-4.81). Of the latter, parity and size of the newborn were the factors most associated with this type of injury. Conclusion: humanized childbirths in general present less frequency and severity of perineal injuries than what is reported in traditional care; however, upright postures, compared to horizontal ones, were significantly associated with the presence of grade II or higher tears.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

The association of maternal obesity and obstetric anal sphincter injuries at time of vaginal delivery

Cited by 2 publications

References 32 publications

Postura vertical y desgarros perineales en partos humanizados

Postura vertical y desgarros perineales en partos humanizados

Vertical posture and perineal tears in humanized childbirths

Contact Info

Product

Resources

About