Racial/Ethnic Differences in Perineal Lacerations in a Diverse Urban Healthcare System
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Le résumé fourni par la source
OBJECTIVES: The aim of the study was o determine whether variations exist between races/ethnicities in perineal laceration at first vaginal delivery. METHODS: We assessed first vaginal deliveries greater than 35 weeks gestation, for a four-year period, in our diverse urban healthcare system. Predictor variable was race/ethnicity with outcome variable of none, first-, second-, third-, or fourth-degree perineal laceration. Race and ethnicity were self-reported and combined into one variable to facilitate analysis. We also collected data on other known risk factors for laceration to adjust our analysis accordingly. RESULTS: A total of 1179 charts met criteria. When comparing none, first-, or second-degree lacerations versus third or fourth degrees (obstetric anal sphincter injuries) race was not a significant factor. We also compared lacerations among the following three groups: none or first degree versus second degree versus obstetric anal sphincter injuries. In this case, Asian and white women were associated with an increasing trend of perineal lacerations as degree of severity increased (P < 0.0001), whereas black and Latina women were associated with a decreasing trend as severity increased (P < 0.0001). After adjusting for other significant variables, race was still significant (P = 0.02). CONCLUSIONS: With an urban diverse population, our study demonstrates an association between race/ethnicity and perineal lacerations. As degree of laceration increased, Asian and white women were noted to have more lacerations, and black and Latina women were noted to have fewer. Because perineal lacerations pose a significant risk to future pelvic floor health, the associated factors identified in this study may prove useful in counseling patients on future risk or in identifying the actual risk in underrepresented populations.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Racial/Ethnic Differences in Perineal Lacerations in a Diverse Urban Healthcare System
- Date Crossref
- 01/01/2019
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Loyola University Chicago pays non établi dans la noticeUniversité ou école supérieure
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Jr. VA Hospital Edward Hines pays non établi dans la noticeÉtablissement de santé
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Loyola University Medical Center Orthopedics pays non établi dans la noticeÉtablissement de santé
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Beijing Obstetrics and Gynecology Hospital pays non établi dans la noticeÉtablissement de santé
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Edward Hines Jr. Veterans Affairs Hospital pays non établi dans la noticeÉtablissement de santé
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Departments of pays non établi dans la noticeInstitution
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Obstetrics & Gynecology pays non établi dans la noticeInstitution
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Urology pays non établi dans la noticeInstitution
Loyola University Chicago, Edward Hines — Jr. VA Hospital et Orthopedics — Loyola University Medical Center, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.