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

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...
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Autor*in:	Alexandra Matei [verfasserIn] Elena Poenaru [verfasserIn] Mihai Cornel Traian Dimitriu [verfasserIn] Cristina Zaharia [verfasserIn] Crîngu Antoniu Ionescu [verfasserIn] Dan Navolan [verfasserIn] Cristian George Furău [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth

Übergeordnetes Werk:	In: International Journal of Environmental Research and Public Health - MDPI AG, 2005, 18(2021), 11491, p 11491
Übergeordnetes Werk:	volume:18 ; year:2021 ; number:11491, p 11491

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3390/ijerph182111491

Katalog-ID:	DOAJ07236842X

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allfields	10.3390/ijerph182111491 doi (DE-627)DOAJ07236842X (DE-599)DOAJfabc24c5454d454d9e0cf4841eb8574a DE-627 ger DE-627 rakwb eng Alexandra Matei verfasserin aut Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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. episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth Medicine R Elena Poenaru verfasserin aut Mihai Cornel Traian Dimitriu verfasserin aut Cristina Zaharia verfasserin aut Crîngu Antoniu Ionescu verfasserin aut Dan Navolan verfasserin aut Cristian George Furău verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 11491, p 11491 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:11491, p 11491 https://doi.org/10.3390/ijerph182111491 kostenfrei https://doaj.org/article/fabc24c5454d454d9e0cf4841eb8574a kostenfrei https://www.mdpi.com/1660-4601/18/21/11491 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 11491, p 11491
spelling	10.3390/ijerph182111491 doi (DE-627)DOAJ07236842X (DE-599)DOAJfabc24c5454d454d9e0cf4841eb8574a DE-627 ger DE-627 rakwb eng Alexandra Matei verfasserin aut Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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. episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth Medicine R Elena Poenaru verfasserin aut Mihai Cornel Traian Dimitriu verfasserin aut Cristina Zaharia verfasserin aut Crîngu Antoniu Ionescu verfasserin aut Dan Navolan verfasserin aut Cristian George Furău verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 11491, p 11491 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:11491, p 11491 https://doi.org/10.3390/ijerph182111491 kostenfrei https://doaj.org/article/fabc24c5454d454d9e0cf4841eb8574a kostenfrei https://www.mdpi.com/1660-4601/18/21/11491 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 11491, p 11491
allfields_unstemmed	10.3390/ijerph182111491 doi (DE-627)DOAJ07236842X (DE-599)DOAJfabc24c5454d454d9e0cf4841eb8574a DE-627 ger DE-627 rakwb eng Alexandra Matei verfasserin aut Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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. episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth Medicine R Elena Poenaru verfasserin aut Mihai Cornel Traian Dimitriu verfasserin aut Cristina Zaharia verfasserin aut Crîngu Antoniu Ionescu verfasserin aut Dan Navolan verfasserin aut Cristian George Furău verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 11491, p 11491 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:11491, p 11491 https://doi.org/10.3390/ijerph182111491 kostenfrei https://doaj.org/article/fabc24c5454d454d9e0cf4841eb8574a kostenfrei https://www.mdpi.com/1660-4601/18/21/11491 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 11491, p 11491
allfieldsGer	10.3390/ijerph182111491 doi (DE-627)DOAJ07236842X (DE-599)DOAJfabc24c5454d454d9e0cf4841eb8574a DE-627 ger DE-627 rakwb eng Alexandra Matei verfasserin aut Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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. episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth Medicine R Elena Poenaru verfasserin aut Mihai Cornel Traian Dimitriu verfasserin aut Cristina Zaharia verfasserin aut Crîngu Antoniu Ionescu verfasserin aut Dan Navolan verfasserin aut Cristian George Furău verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 11491, p 11491 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:11491, p 11491 https://doi.org/10.3390/ijerph182111491 kostenfrei https://doaj.org/article/fabc24c5454d454d9e0cf4841eb8574a kostenfrei https://www.mdpi.com/1660-4601/18/21/11491 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 11491, p 11491
allfieldsSound	10.3390/ijerph182111491 doi (DE-627)DOAJ07236842X (DE-599)DOAJfabc24c5454d454d9e0cf4841eb8574a DE-627 ger DE-627 rakwb eng Alexandra Matei verfasserin aut Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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. episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth Medicine R Elena Poenaru verfasserin aut Mihai Cornel Traian Dimitriu verfasserin aut Cristina Zaharia verfasserin aut Crîngu Antoniu Ionescu verfasserin aut Dan Navolan verfasserin aut Cristian George Furău verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 11491, p 11491 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:11491, p 11491 https://doi.org/10.3390/ijerph182111491 kostenfrei https://doaj.org/article/fabc24c5454d454d9e0cf4841eb8574a kostenfrei https://www.mdpi.com/1660-4601/18/21/11491 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 11491, p 11491
language	English
source	In International Journal of Environmental Research and Public Health 18(2021), 11491, p 11491 volume:18 year:2021 number:11491, p 11491
sourceStr	In International Journal of Environmental Research and Public Health 18(2021), 11491, p 11491 volume:18 year:2021 number:11491, p 11491
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth Medicine R
isfreeaccess_bool	true
container_title	International Journal of Environmental Research and Public Health
authorswithroles_txt_mv	Alexandra Matei @@aut@@ Elena Poenaru @@aut@@ Mihai Cornel Traian Dimitriu @@aut@@ Cristina Zaharia @@aut@@ Crîngu Antoniu Ionescu @@aut@@ Dan Navolan @@aut@@ Cristian George Furău @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	477992463
id	DOAJ07236842X
language_de	englisch
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author	Alexandra Matei
spellingShingle	Alexandra Matei misc episiotomy misc vaginal birth misc perineal trauma misc soft tissue injury misc birth laceration misc adolescent birth misc Medicine misc R Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population
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topic_title	Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population episiotomy vaginal birth perineal trauma soft tissue injury birth laceration adolescent birth
topic	misc episiotomy misc vaginal birth misc perineal trauma misc soft tissue injury misc birth laceration misc adolescent birth misc Medicine misc R
topic_unstemmed	misc episiotomy misc vaginal birth misc perineal trauma misc soft tissue injury misc birth laceration misc adolescent birth misc Medicine misc R
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title	Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population
ctrlnum	(DE-627)DOAJ07236842X (DE-599)DOAJfabc24c5454d454d9e0cf4841eb8574a
title_full	Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population
author_sort	Alexandra Matei
journal	International Journal of Environmental Research and Public Health
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author_browse	Alexandra Matei Elena Poenaru Mihai Cornel Traian Dimitriu Cristina Zaharia Crîngu Antoniu Ionescu Dan Navolan Cristian George Furău
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title_sort	obstetrical soft tissue trauma during spontaneous vaginal birth in the romanian adolescent population—multicentric comparative study with adult population
title_auth	Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population
abstract	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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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.
abstractGer	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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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.
abstract_unstemmed	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% (<i<p</i< = 0.00, Pearson Chi-square) and a 1.89 times increased risk for developing additional group II lacerations: <i<p</i< = 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, <i<p</i< = 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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title_short	Obstetrical Soft Tissue Trauma during Spontaneous Vaginal Birth in the Romanian Adolescent Population—Multicentric Comparative Study with Adult Population
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author2	Elena Poenaru Mihai Cornel Traian Dimitriu Cristina Zaharia Crîngu Antoniu Ionescu Dan Navolan Cristian George Furău
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