Obesity May Be Protective against Severe Perineal Lacerations
Objective. To determine if there is an association between BMI and 3rd- or 4th-degree perineal lacerations in normal spontaneous and operative vaginal deliveries. Study Design. We performed a retrospective case control study using a large obstetric quality improvement database over a six-year period...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2016/9376592 |
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| _version_ | 1832552566243721216 |
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| author | Diana Garretto Brian B. Lin Helen L. Syn Nancy Judge Karen Beckerman Fouad Atallah Arnold Friedman Michael Brodman Peter S. Bernstein |
| author_facet | Diana Garretto Brian B. Lin Helen L. Syn Nancy Judge Karen Beckerman Fouad Atallah Arnold Friedman Michael Brodman Peter S. Bernstein |
| author_sort | Diana Garretto |
| collection | DOAJ |
| description | Objective. To determine if there is an association between BMI and 3rd- or 4th-degree perineal lacerations in normal spontaneous and operative vaginal deliveries. Study Design. We performed a retrospective case control study using a large obstetric quality improvement database over a six-year period. Cases were identified as singleton gestations with third- and fourth-degree lacerations. Controls were obtained randomly from the database of patients without third- or fourth-degree lacerations in a 1 : 1 ratio. Univariate and multivariate logistic regression analyses were performed. Results. Of 32,607 deliveries, 22,011 (67.5%) charts with BMI documented were identified. Third- or fourth-degree lacerations occurred in 2.74% (n=605) of patients. 37% (n=223) were identified in operative vaginal deliveries. In the univariate analysis, obesity, older maternal age, non-Asian race, and birth weight <4000 g were all protective against 3rd- and 4th-degree lacerations. After controlling for age, race, mode of vaginal delivery, and birth weight, obesity remained significant. Conclusion. Being obese may protect against third- and fourth-degree lacerations independent of parity, race, birth weight, and mode of delivery. |
| format | Article |
| id | doaj-art-5c6eebf2c7dc413e93db10efc64945bc |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-5c6eebf2c7dc413e93db10efc64945bc2025-02-03T05:58:20ZengWileyJournal of Obesity2090-07082090-07162016-01-01201610.1155/2016/93765929376592Obesity May Be Protective against Severe Perineal LacerationsDiana Garretto0Brian B. Lin1Helen L. Syn2Nancy Judge3Karen Beckerman4Fouad Atallah5Arnold Friedman6Michael Brodman7Peter S. Bernstein8Department of Obstetrics & Gynecology and Reproductive Medicine, Stony Brook Medicine, Stony Brook University, Stony Brook, NY 11794, USAHospitals Insurance Company, Inc., New York, NY 10016, USAHospitals Insurance Company, Inc., New York, NY 10016, USADepartment of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10461, USABronx Lebanon Hospital, Bronx, NY 10457, USAMaimonides Medical Center, Brooklyn, NY 11219, USAMount Sinai Beth Israel Hospital, New York, NY 10011, USAMount Sinai Hospital, New York, NY 10029, USADepartment of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY 10461, USAObjective. To determine if there is an association between BMI and 3rd- or 4th-degree perineal lacerations in normal spontaneous and operative vaginal deliveries. Study Design. We performed a retrospective case control study using a large obstetric quality improvement database over a six-year period. Cases were identified as singleton gestations with third- and fourth-degree lacerations. Controls were obtained randomly from the database of patients without third- or fourth-degree lacerations in a 1 : 1 ratio. Univariate and multivariate logistic regression analyses were performed. Results. Of 32,607 deliveries, 22,011 (67.5%) charts with BMI documented were identified. Third- or fourth-degree lacerations occurred in 2.74% (n=605) of patients. 37% (n=223) were identified in operative vaginal deliveries. In the univariate analysis, obesity, older maternal age, non-Asian race, and birth weight <4000 g were all protective against 3rd- and 4th-degree lacerations. After controlling for age, race, mode of vaginal delivery, and birth weight, obesity remained significant. Conclusion. Being obese may protect against third- and fourth-degree lacerations independent of parity, race, birth weight, and mode of delivery.http://dx.doi.org/10.1155/2016/9376592 |
| spellingShingle | Diana Garretto Brian B. Lin Helen L. Syn Nancy Judge Karen Beckerman Fouad Atallah Arnold Friedman Michael Brodman Peter S. Bernstein Obesity May Be Protective against Severe Perineal Lacerations Journal of Obesity |
| title | Obesity May Be Protective against Severe Perineal Lacerations |
| title_full | Obesity May Be Protective against Severe Perineal Lacerations |
| title_fullStr | Obesity May Be Protective against Severe Perineal Lacerations |
| title_full_unstemmed | Obesity May Be Protective against Severe Perineal Lacerations |
| title_short | Obesity May Be Protective against Severe Perineal Lacerations |
| title_sort | obesity may be protective against severe perineal lacerations |
| url | http://dx.doi.org/10.1155/2016/9376592 |
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