Sphincter tears in primiparous women: is age a factor?

被引：4

作者：

Bowling, C. Bryce ^{[1
]}

Wheeler, Thomas L., II ^{[1
]}

Gerten, Kimberly A. ^{[1
]}

Chapman, Victoria R. ^{[1
]}

Burgio, Kathryn L. ^{[2
,3
]}

Richter, Holly E. ^{[1
]}

机构：

[1] Univ Alabama Birmingham, Dept Obstet & Gynecol, Div Womens Pelv Med & Reconstruct Surg, Birmingham, AL 35294 USA

[2] Birmingham Atlanta Geriatr Res Educ & Clin Ctr GR, Dept Vet Affairs Med Ctr, Birmingham, AL USA

[3] Univ Alabama Birmingham, Dept Med, Div Gerontol Geriatr & Palliat Care, Birmingham, AL 35294 USA

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2009年 / 20卷 / 05期

关键词：

Anal sphincter tears; Maternal age; Primiparous; Vaginal delivery; RISK-FACTORS; URINARY-INCONTINENCE; VAGINAL DELIVERY; MORTALITY;

D O I：

10.1007/s00192-008-0754-0

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Anal sphincter tears during vaginal delivery may result in serious sequelae. We examined whether younger primiparous patients were at increased risk for sphincter tears during vaginal delivery. Data from an obstetric automated record were analyzed. Primiparous women delivering term infants (n = 5,937) were included to test for an association between age and sphincter tear rates. Three age groups were considered: young adolescents (a parts per thousand currency sign16 years), older adolescents (17-20 years), and adults (a parts per thousand yen21 years). No significant difference was found in tear rates among age cohorts (9.2%, 8.0%, and 9.6% respectively; p = 0.12). Logistic regression modeling revealed that young adolescents were not more likely to have sphincter tears compared to older cohorts. Younger adolescents may not be at increased risk of anal sphincter tears. Decisions regarding interventions to decrease sphincter tears during vaginal delivery should not be made on the basis of maternal age alone.

引用

页码：565 / 569

页数：5

共 17 条

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