Document Detail


Distribution of genital tract trauma in childbirth and related postnatal pain.
MedLine Citation:
PMID:  10352050     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The full extent of genital tract trauma in spontaneous births is not well documented. The purpose of this study was to describe the range and extent of childbirth trauma and related postnatal pain using data from a large randomized clinical trial of perineal management techniques (n = 5471). METHODS: Descriptive analysis was conducted on trial participants who delivered spontaneously at term and were examined by their midwife after birth (n = 5404). Data are reported for sites of trauma, and the relation to episiotomy, suturing, and maternal reports of pain at 2 days, 10 days, and 3 months after birth. RESULTS: Eighty-five percent of all women experienced some form of trauma, with first- or second-degree perineal lacerations occurring in two-thirds of women and outer vaginal tears occurring in one-half. Tears to the rectum and vaginal vault were more common with episiotomy. Nearly all unsutured trauma was restricted to perineal first- or second-degree, outer vaginal, and labial sites. Pain declined over time, and a gradient in pain was observed according to the site and complexity of trauma. CONCLUSIONS: Genital tract trauma is extremely common with spontaneous vaginal birth. Effective measures to prevent or reduce its occurrence would benefit many new mothers.
Authors:
L Albers; J Garcia; M Renfrew; R McCandlish; D Elbourne
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Birth (Berkeley, Calif.)     Volume:  26     ISSN:  0730-7659     ISO Abbreviation:  Birth     Publication Date:  1999 Mar 
Date Detail:
Created Date:  1999-06-18     Completed Date:  1999-06-18     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8302042     Medline TA:  Birth     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  11-7     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
Adult
Episiotomy
Female
Follow-Up Studies
Genitalia, Female / injuries*
Humans
Nurse Midwives
Obstetric Labor Complications / etiology*,  nursing
Pain / etiology*
Pregnancy
Puerperal Disorders / etiology*
Questionnaires
Risk Factors
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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