RISK FACTORS FOR INTRAPARTUM PERINEAL TEARS
Main Article Content
Abstract
Objective: To identify risk factors potentially influencing the occurrence of perineal tears during child birth in women
presenting to a tertiary care hospital in Peshawar.
Material and Methods: This was a hospital based descriptive study, conducted at the department of Obstetrics and
Gynaecology, Khyber Teaching Hospital, Peshawar, from February 2007 to August 2007. Women with full term singleton
pregnancy in active labour were included in the study. Data was collected using a written, structured questionnaire
and analyzed using SPSS.
Results: A total of 50 women who had perineal tears during child birth were studied. Nulliparity (76%), episiotomy
(62%), prolonged 2nd stage of labour (32%), infant birth weight of >3.5 kg (25%), were significantly associated with
the perineal tears. Moreover, outlet forceps delivery was a risk factor for major (3rd& 4th) degree perineal tears.
Conclusion: The most important obstetric risk factors for perineal tears are nulliparity, mediolateral episiotomy, instrumental
delivery and prolonged 2nd stage of labour.
Article Details
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.