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  • Trends and risk factors for severe perineal trauma during childbirth in New South Wales between 2000 and 2008: a population-based data study

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    Author(s)
    Dahlen, Hannah
    Priddis, Holly
    Schmied, Virginia
    Sneddon, Anne
    Kettle, Christine
    Brown, Chris
    Thornton, Charlene
    Griffith University Author(s)
    Sneddon, Anne E.
    Year published
    2013
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    Abstract
    OBJECTIVES: To determine trends and risk factors for severe perineal trauma between 2000 and 2008. DESIGN: This was a population-based data study. SETTING: New South Wales, Australia. PARTICIPANTS: 510 006 women giving birth to a singleton baby during the period 2000-2008. MAIN OUTCOME MEASURES: Rates of severe perineal trauma between 2000 and 2008 and associated demographic, fetal, antenatal, labour and delivery events and factors. RESULTS: There was an increase in the overall rate of severe perineal trauma from 2000 to 2008 from 1.4% to 1.9% (36% increase). Compared with women who were intact or had minor perineal ...
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    OBJECTIVES: To determine trends and risk factors for severe perineal trauma between 2000 and 2008. DESIGN: This was a population-based data study. SETTING: New South Wales, Australia. PARTICIPANTS: 510 006 women giving birth to a singleton baby during the period 2000-2008. MAIN OUTCOME MEASURES: Rates of severe perineal trauma between 2000 and 2008 and associated demographic, fetal, antenatal, labour and delivery events and factors. RESULTS: There was an increase in the overall rate of severe perineal trauma from 2000 to 2008 from 1.4% to 1.9% (36% increase). Compared with women who were intact or had minor perineal trauma (first-degree tear, vaginal graze/tear), women who were primiparous (adjusted OR (AOR) 1.8 CI (1.65 to 1.95), were born in China or Vietnam (AOR 1.1 CI (1.09 to 1.23), gave birth in a private hospital (AOR 1.1 CI (1.03 to 1.20), had an instrumental birth (AOR 1.8 CI (1.65 to 1.95) and male baby (AOR 1.3 CI (1.27 to 1.34) all had a significantly higher risk of severe perineal trauma. Only giving birth to a male baby, adjusted for birth weight (AOR 1.5 CI (1.44 to 1.58), remained significant, when women with severe perineal trauma were compared with all other women not experiencing severe perineal trauma. This association increased over the study period. CONCLUSIONS: To our knowledge, this is the first time that having a male baby has been found to exert such a strong independent risk for severe perineal trauma and the increasing significance of this in recent years needs further exploration.
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    Journal Title
    BMJ Open
    Volume
    3
    Issue
    5
    DOI
    https://doi.org/10.1136/bmjopen-2013-002824
    Copyright Statement
    © 2013 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode
    Subject
    Midwifery
    Clinical Sciences
    Public Health and Health Services
    Other Medical and Health Sciences
    Publication URI
    http://hdl.handle.net/10072/116946
    Collection
    • Journal articles

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