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Severe Perineal Lac...
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Newby-Kew, AbigailOregon Hlth & Sci Univ, Portland State Univ, Sch Publ Hlth, 1805 SW 5th Ave 623T, Portland, OR 97201 USA.
(författare)
Severe Perineal Lacerations in First Delivery : Association with Subsequent Reproductive Outcomes
- Artikel/kapitelEngelska2024
Förlag, utgivningsår, omfång ...
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Mary Ann Liebert,2024
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Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-531479
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-531479URI
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https://doi.org/10.1089/jwh.2023.0312DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:238061037URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:155198541URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:art swepub-publicationtype
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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.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Sandström, AnnaKarolinska Institutet,Karolinska Inst, Dept Med, Clin Epidemiol Div, Stockholm, Sweden.;Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97201 USA.
(författare)
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Wikström, Anna-Karin,1965-Uppsala universitet,Klinisk obstetrik(Swepub:uu)annwi179
(författare)
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Stephansson, OlofKarolinska Institutet,Karolinska Inst, Dept Med, Clin Epidemiol Div, Stockholm, Sweden.;Karolinska Univ Hosp, Dept Obstet & Gynecol, Stockholm, Sweden.
(författare)
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Snowden, Jonathan M.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.
(författare)
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Karolinska InstitutetOregon Hlth & Sci Univ, Portland State Univ, Sch Publ Hlth, 1805 SW 5th Ave 623T, Portland, OR 97201 USA.
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Women's Health: Mary Ann Liebert33:4, s. 542-5501540-99961931-843X
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