Sökning: onr:"swepub:oai:DiVA.org:uu-531479" >
Severe Perineal Lac...
Severe Perineal Lacerations in First Delivery : Association with Subsequent Reproductive Outcomes
-
- Newby-Kew, Abigail (författare)
- Oregon Hlth & Sci Univ, Portland State Univ, Sch Publ Hlth, 1805 SW 5th Ave 623T, Portland, OR 97201 USA.
-
- Sandström, Anna (författare)
- Karolinska Institutet,Karolinska Inst, Dept Med, Clin Epidemiol Div, Stockholm, Sweden.;Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97201 USA.
-
- Wikström, Anna-Karin, 1965- (författare)
- Uppsala universitet,Klinisk obstetrik
-
visa fler...
-
- Stephansson, Olof (författare)
- Karolinska Institutet,Karolinska Inst, Dept Med, Clin Epidemiol Div, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Obstet & Gynecol, Stockholm, Sweden.
-
- Snowden, Jonathan M. (författare)
- Oregon Hlth & Sci Univ, Portland State Univ, Sch Publ Hlth, 1805 SW 5th Ave 623T, Portland, OR 97201 USA.;Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97201 USA.
-
visa färre...
-
Karolinska Institutet Oregon Hlth & Sci Univ, Portland State Univ, Sch Publ Hlth, 1805 SW 5th Ave 623T, Portland, OR 97201 USA (creator_code:org_t)
- Mary Ann Liebert, 2024
- 2024
- Engelska.
-
Ingår i: Journal of Women's Health. - : Mary Ann Liebert. - 1540-9996 .- 1931-843X. ; 33:4, s. 542-550
- Relaterad länk:
-
https://urn.kb.se/re...
-
visa fler...
-
https://doi.org/10.1...
-
http://kipublication...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: Severe perineal lacerations (SPLs), common worldwide, are associated with short- and long-term complications: pelvic floor disorders, fecal incontinence, fistula, and profound psychological impacts. Limited research suggests that experiencing SPL may influence future reproductive intentions, but research on outcomes is lacking.Methods: We analyzed the effect of experiencing SPL during a first delivery among a large cohort of Swedish births between 1992 and 2013. We used linear and multinomial logistic regression to estimate the associations between SPL and four reproductive outcomes: subsequent total birth number, probability of a second birth, interpregnancy interval (IPI), and subsequent scheduled cesarean birth.Results: Among 947,035 singleton live-born first-births, we found that experiencing SPL was associated with slightly fewer overall births in fully adjusted models (a decrease of -0.020 births; 95% confidence interval [CI]: -0.028 to -0.012), but no difference in the probability of a second birth (risk ratio [RR]: 1.00; 95% CI: 0.99 to 1.00) or IPI. Scheduled cesarean was increased in births after SPL (adjusted RR: 4.57; 95% CI: 4.42 to 4.73). A secondary comparison of SPL to severe postpartum hemorrhage suggests that some of these observed differences may be related to experiencing any severe outcome, and some specifically to perineum disruption.Conclusion: This study provides a deeper understanding of the long-term impacts of SPL, which may be useful in informing best clinical practices for supporting women who have experienced SPL.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- perineal lacerations
- interpregnancy interval
- pregnancy rate
- reproductive health
- pelvic floor
- cesarean birth
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas