Obesity May Be Protective against Severe Perineal Lacerations

Diana Garretto, Brian B. Lin, Helen L. Syn, Nancy E. Judge, Karen Beckerman, Fouad Atallah, Arnold Friedman, Michael Brodman, Peter S. Bernstein

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Abstract

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

Original languageEnglish (US)
Article number9376592
JournalJournal of Obesity
Volume2016
DOIs
StatePublished - 2016

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ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

Cite this

Garretto, D., Lin, B. B., Syn, H. L., Judge, N. E., Beckerman, K., Atallah, F., Friedman, A., Brodman, M., & Bernstein, P. S. (2016). Obesity May Be Protective against Severe Perineal Lacerations. Journal of Obesity, 2016, [9376592]. https://doi.org/10.1155/2016/9376592