Racial/ethnic differences in perineal, vaginal and cervical lacerations

Linda M. Hopkins, Aaron Caughey, David V. Glidden, Russell K. Laros

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Objective: To determine if variation exists between ethnicities for risk of perineal, vaginal, and cervical laceration at vaginal delivery. Study design: Retrospective cohort study of nulliparous women who underwent vaginal delivery of a vertex presentation. Predictor variable was ethnicity with outcome variables cervical, vaginal, and second-, third-, or fourth-degree perineal laceration. Logistic regression analysis was conducted to control for confounders. Results: Of the 17,216 who met criteria, Filipino (OR = 1.92, 95% CI 1.64-2.25) and Chinese (OR = 1.60, 95% CI 1.33-1.92) women were at greatest risk for third- and fourth-degree laceration. Only Filipino (OR = 1.32, 95% CI 1.10-1.57) and other Asian (OR = 1.23, 95% CI 1.08-1.41) women were at slightly increased risk of vaginal laceration. No differences were seen for cervical laceration. Conclusion: Different ethnicities are at widely varying risk of perineal laceration, but little difference exists for vaginal or cervical lacerations. Research into the mechanisms behind this should investigate differences in perineal anatomy.

Original languageEnglish (US)
Pages (from-to)455-459
Number of pages5
JournalAmerican Journal of Obstetrics and Gynecology
Volume193
Issue number2
DOIs
StatePublished - Aug 2005
Externally publishedYes

Fingerprint

Lacerations
Anatomy
Cohort Studies
Retrospective Studies
Logistic Models
Regression Analysis
Research

Keywords

  • Cervical laceration
  • Episiotomy
  • Perineal laceration
  • Vaginal delivery
  • Vaginal laceration

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Racial/ethnic differences in perineal, vaginal and cervical lacerations. / Hopkins, Linda M.; Caughey, Aaron; Glidden, David V.; Laros, Russell K.

In: American Journal of Obstetrics and Gynecology, Vol. 193, No. 2, 08.2005, p. 455-459.

Research output: Contribution to journalArticle

Hopkins, Linda M. ; Caughey, Aaron ; Glidden, David V. ; Laros, Russell K. / Racial/ethnic differences in perineal, vaginal and cervical lacerations. In: American Journal of Obstetrics and Gynecology. 2005 ; Vol. 193, No. 2. pp. 455-459.
@article{767fbc15cf4c4660a7fe1e7cc29298a8,
title = "Racial/ethnic differences in perineal, vaginal and cervical lacerations",
abstract = "Objective: To determine if variation exists between ethnicities for risk of perineal, vaginal, and cervical laceration at vaginal delivery. Study design: Retrospective cohort study of nulliparous women who underwent vaginal delivery of a vertex presentation. Predictor variable was ethnicity with outcome variables cervical, vaginal, and second-, third-, or fourth-degree perineal laceration. Logistic regression analysis was conducted to control for confounders. Results: Of the 17,216 who met criteria, Filipino (OR = 1.92, 95{\%} CI 1.64-2.25) and Chinese (OR = 1.60, 95{\%} CI 1.33-1.92) women were at greatest risk for third- and fourth-degree laceration. Only Filipino (OR = 1.32, 95{\%} CI 1.10-1.57) and other Asian (OR = 1.23, 95{\%} CI 1.08-1.41) women were at slightly increased risk of vaginal laceration. No differences were seen for cervical laceration. Conclusion: Different ethnicities are at widely varying risk of perineal laceration, but little difference exists for vaginal or cervical lacerations. Research into the mechanisms behind this should investigate differences in perineal anatomy.",
keywords = "Cervical laceration, Episiotomy, Perineal laceration, Vaginal delivery, Vaginal laceration",
author = "Hopkins, {Linda M.} and Aaron Caughey and Glidden, {David V.} and Laros, {Russell K.}",
year = "2005",
month = "8",
doi = "10.1016/j.ajog.2004.12.007",
language = "English (US)",
volume = "193",
pages = "455--459",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "2",

}

TY - JOUR

T1 - Racial/ethnic differences in perineal, vaginal and cervical lacerations

AU - Hopkins, Linda M.

AU - Caughey, Aaron

AU - Glidden, David V.

AU - Laros, Russell K.

PY - 2005/8

Y1 - 2005/8

N2 - Objective: To determine if variation exists between ethnicities for risk of perineal, vaginal, and cervical laceration at vaginal delivery. Study design: Retrospective cohort study of nulliparous women who underwent vaginal delivery of a vertex presentation. Predictor variable was ethnicity with outcome variables cervical, vaginal, and second-, third-, or fourth-degree perineal laceration. Logistic regression analysis was conducted to control for confounders. Results: Of the 17,216 who met criteria, Filipino (OR = 1.92, 95% CI 1.64-2.25) and Chinese (OR = 1.60, 95% CI 1.33-1.92) women were at greatest risk for third- and fourth-degree laceration. Only Filipino (OR = 1.32, 95% CI 1.10-1.57) and other Asian (OR = 1.23, 95% CI 1.08-1.41) women were at slightly increased risk of vaginal laceration. No differences were seen for cervical laceration. Conclusion: Different ethnicities are at widely varying risk of perineal laceration, but little difference exists for vaginal or cervical lacerations. Research into the mechanisms behind this should investigate differences in perineal anatomy.

AB - Objective: To determine if variation exists between ethnicities for risk of perineal, vaginal, and cervical laceration at vaginal delivery. Study design: Retrospective cohort study of nulliparous women who underwent vaginal delivery of a vertex presentation. Predictor variable was ethnicity with outcome variables cervical, vaginal, and second-, third-, or fourth-degree perineal laceration. Logistic regression analysis was conducted to control for confounders. Results: Of the 17,216 who met criteria, Filipino (OR = 1.92, 95% CI 1.64-2.25) and Chinese (OR = 1.60, 95% CI 1.33-1.92) women were at greatest risk for third- and fourth-degree laceration. Only Filipino (OR = 1.32, 95% CI 1.10-1.57) and other Asian (OR = 1.23, 95% CI 1.08-1.41) women were at slightly increased risk of vaginal laceration. No differences were seen for cervical laceration. Conclusion: Different ethnicities are at widely varying risk of perineal laceration, but little difference exists for vaginal or cervical lacerations. Research into the mechanisms behind this should investigate differences in perineal anatomy.

KW - Cervical laceration

KW - Episiotomy

KW - Perineal laceration

KW - Vaginal delivery

KW - Vaginal laceration

UR - http://www.scopus.com/inward/record.url?scp=23844451658&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=23844451658&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2004.12.007

DO - 10.1016/j.ajog.2004.12.007

M3 - Article

C2 - 16098870

AN - SCOPUS:23844451658

VL - 193

SP - 455

EP - 459

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 2

ER -