The Relation Between Development of Vaginal and Perineal Lacerations During Delivery and Stria Gravidarum: A Cross Sectional Study | ||
| Evidence Based Women's Health Journal | ||
| Article 15, Volume 14, Issue 3, August 2024, Pages 355-361 PDF (414.5 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2024.295572.1334 | ||
| Authors | ||
| Mahmoud Soliman1; Ahmed Maged2; Sameh Salama* 3; Marwa Sharaf4; Mazen Abdel Rasheed5; Ebtihal Eltaieb6; Rehab Lotfy4 | ||
| 1Obstetrics and gynecology faculty of medicine Kasr Al Ainy Cairo Egypt | ||
| 2Obstetrics and gynecology Kasr AlAini hospital Cairo Egypt | ||
| 3Reproductive Health and Family Planning Department, Medical Research and Clinical Studies Institute, National Research Centre, Egypt | ||
| 4Department of Obstetrics & Gynaecology, Faculty of Medicine, Cairo University, Cairo, Egypt | ||
| 5Department of Reproductive Health and Family Planning, Medical Research and Clinical Studies Institute, National Research Centre | ||
| 6Department of Obstetrics & Gynaecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt | ||
| Abstract | ||
| Objective: To evaluate the relation between the degree of the striae gravidarum (SG) and the incidence of vaginal or perineal lacerations and the consequent need for episiotomy.Study design: This cross-sectional multicentre observational study was carried out on 466 pregnant delivered in Cairo, Ain Shams Universities and private hospitals. The striae gravidarum (SG) was assessed according to the numerical scoring system of Atwal. The primary outcome of this study was the occurrence of vaginal or perineal lacerations and the need for episiotomy in relation to the degree of the SG.Results: The incidence of vaginal, perineal lacerations and the need for episiotomy increased significantly with higher degrees of total striae score (TSS) ( 6.82 ±3.77 vs. 3.27 ±2.84, P < 0.001, 6.1 ±3.38 vs 4.14 ±3.57, P <0.001 and 4.79 ±3.73 vs. 3.96 ±3.33, P = 0.018 respectively) . There was a significant correlation between perineal lacerations and TTS (P <0.001),lower parity (P = 0.002) , fetal head position (P0.002), Higher gestational age ( P= 0.015), the need for episiotomy (P <0.0010, occurrence of vaginal lacerations and its length (P <0.001 and 0.002 respectively) and higher neonatal birth weight (P = 0.002). There was also a significant correlation between vaginal lacerations and older maternal age (P = 0.023), Body mass index (P = 0.004), TTS (P <0.001), ), the need for episiotomy (P =0.012, occurrence of perineal lacerations and its length (P <0.001) and higher neonatal birth weight (P = 0.012).Conclusion: TTS of SG assessed prenatally could predict occurrence of vaginal, perineal lacerations and the need for episiotomy. | ||
| Keywords | ||
| Episiotomy; perineal lacerations; striae gravidarum; vaginal delivery; vaginal lacerations | ||
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