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   Frequency and severity of perineal tears in Countess Lady Duffrin Fund Hospital, Hyderabad  
   
نویسنده Brohi Zahida Perveen ,Sadaf Aneela ,Zohra Nishat ,Perveen Uzma
منبع journal of the pakistan medical association - 2012 - دوره : 62 - شماره : 8 - صفحه:803 -806
چکیده    Objective: to observe the frequency and severity of perineal tears during vaginal delivery. methods: it was a prospective observational study done at the countess lady duffrin fund hospital, hyderabad, pakistan, from december 1, 2009 to may 31, 2010. women with full-term singleton pregnancy primigravida or multigravida, in active labour were included in the study. patients with pre-term labour, breech presentation and antepartum haemorrhage were excluded, leaving the study population to be 147/1488. a pre- designed structured proforma was used after informed verbal consent by the patient. all results were analysed on spss version 11. frequencies and percentages were calculated, while spearman's rho test (two-tailed) was applied for categorical variables. a p-value of less than or equal to 0.05 was considered significant. results: the frequency of perineal tears in our study was 147/1488 (9.8%). the mean age was 28.08±7.47, ranging between 17-42 years. the vast majority, 100 (68%) delivered spontaneously, 45 (30.6%) were delivered with help of the forceps, and only 2 (1.4%) had vacuum delivery. parity, oxytocin use, mediolateral episiotomy, forceps use, weight of babies>3.6kg were significantly associated with perineal tears. conclusion: perineal tears cause considerable post-natal morbidity. identification of risk factors, vigilant monitoring during labour and good perineal support is recommended for minimising the risk of perineal trauma as well as morbidity.
کلیدواژه Perineal tears ,Risk factors ,Forceps-assisted delivery ,Mediolateral episiotomy.
آدرس Isra University Hospital, Department of Obstetrics & Gynaecology, Hyderabad, Countess Lady Duffrin Fund Hospital (CDF), Pakistan, Isra University Hospital, Department of Obstetrics & Gynaecology, Pakistan, Isra University Hospital, Department of Obstetrics & Gynaecology, Pakistan
 
     
   
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