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Breakdown of perineal laceration repair after vaginal delivery

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dc.contributor.author JAllad, Karl
dc.contributor.author Steele, Sarah E.
dc.contributor.author Barber, Matthew D.
dc.date.accessioned 2019-05-28T11:54:12Z
dc.date.available 2019-05-28T11:54:12Z
dc.date.copyright 2016 en_US
dc.identifier.issn 2154-4212 en_US
dc.identifier.uri http://hdl.handle.net/10725/10680
dc.description.abstract Objective The aim of the study was to estimate risk factors associated with breakdown of perineal laceration repair after vaginal delivery. Methods This is a case-control study of women who sustained a breakdown of perineal laceration repair after vaginal delivery between 2002 and 2015. Cases were patients who sustained a perineal wound breakdown after vaginal delivery and repair of a second-, third-, or fourth-degree laceration. Controls, matched 1:1, were patients who either sustained a second-, third-, or fourth-degree perineal laceration and repair without evidence of breakdown and who delivered on the same day and institution as the case. Results A total of 104,301 deliveries were assessed for breakdown of perineal laceration. One hundred forty-four met the inclusion criteria. These were matched with 144 controls. Logistic regression analysis demonstrated that smoking is associated with increased risk for breakdown of perineal laceration (adjusted odds ratio [adj. OR], 6.4; 95% confidence interval [CI], 1.2–38.5), whereas a previous vaginal delivery is protective (adj. OR, 0.14; 95% CI, 0.05-0.3). In addition, third- or fourth-degree laceration (adj. OR, 4.0; 95% CI, 1.1–15.7), presence of episiotomy at time of delivery (adj. OR, 11.1; 95% CI, 2.9–48.8), operative delivery (adj. OR, 3.4; 95% CI, 1.2–10.3), midwife performing the laceration repair (adj. OR, 4.7; 95% CI, 1.5–15.8), and use of chromic suture (adj. OR, 3.9; 95% CI, 1.6–9.8) were independent risk factors for breakdown of perineal laceration. Conclusions Smoking, nulliparity, episiotomy, operative delivery, third- or fourth-degree laceration, repair by a midwife, and use of chromic suture are independent risk factors for breakdown of perineal laceration repair after vaginal delivery. en_US
dc.language.iso en en_US
dc.title Breakdown of perineal laceration repair after vaginal delivery en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle a case-control study en_US
dc.author.school SOM en_US
dc.author.idnumber 200100999 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Female Pelvic Medicine & Reconstructive Surgery en_US
dc.journal.volume 22 en_US
dc.journal.issue 4 en_US
dc.article.pages 276-279 en_US
dc.identifier.doi http://dx.doi.org/10.1097/SPV.0000000000000274 en_US
dc.identifier.ctation Jallad, K., Steele, S. E., & Barber, M. D. (2016). Breakdown of perineal laceration repair after vaginal delivery: a case-control study. Female pelvic medicine & reconstructive surgery, 22(4), 276-279. en_US
dc.author.email karl.jallad@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://oce.ovid.com/article/01436319-201607000-00018/HTML en_US
dc.author.affiliation Lebanese American University en_US


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