2026-06-27T23:49:53Zhttps://docta.ucm.es/rest/oai/request
oai:docta.ucm.es:20.500.14352/50412024-10-10T14:39:53Zcom_20.500.14352_14col_20.500.14352_15
Docta Complutense author Barca Sánchez, Juan Antonio author Bravo Arribas, Coral author Pintado Recarte, María Del Pilar author Cueto Hernández, Ignacio author Ruiz Labarta, Javier author Cuñarro López, Yolanda author Bujan, Julia author Álvarez Mon, Melchor author Ortega, Miguel Angel author De León Luis, Juan Antonio 2023-06-16T14:26:32Z 2023-06-16T14:26:32Z 2021-07-21 Barca, J.A.; Bravo, C.; Pintado-Recarte, M.P.; Cueto-Hernández, I.; Ruiz-Labarta, J.; Cuñarro, Y.; Buján, J.; Alvarez-Mon, M.; Ortega, M.A.; De León-Luis, J.A. Risk Factors in Third and Fourth Degree Perineal Tears in Women in a Tertiary Centre: An Observational Ambispective Cohort Study. JPM 2021, 11, 685, doi:10.3390/jpm11080685. 2075-4426 10.3390/jpm11080685 https://hdl.handle.net/20.500.14352/5041 https://doi.org/10.3390/jpm11080685 https://www.mdpi.com/2075-4426/11/8/685 Objectives: To analyze the main risk factors associated with third and fourth degree postpartum perineal tears in women attended to in our obstetrics service. Methods: An observational, retrospective, hospital cohort study was carried out in women whose deliveries were attended to in the obstetrics service of the Hospital General Universitario Gregorio Marañón de Madrid (HGUGM), during the period from January 2010 to April 2017. Results: During the study period, a total of 33,026 patients were included in the study. For maternal variables, the associated increased risk of severe perineal tearing in nulliparous women is OR = 3.48, for induced labor OR = 1.29, and for instrumental delivery by forceps OR = 4.52 or spatulas OR = 4.35; for the obstetric variable of episiotomy, it is OR = 3.41. For the neonatal variables, the weight of the newborns has a directly proportional relationship with the risk of severe tears, and for birth weights of 3000 g (OR = 2.41), 3500 g (OR = 1.97), and 4000 g (OR = 2.17), statistically significant differences were found in each of the groups (p < 0.05). Conclusion: Primiparity, induction of labor, episiotomy, instrumental delivery with forceps or spatula, and a birth weight of 3000 g or more are significantly associated with an increased risk of third and fourth degree perineal tears. eng Atribución 3.0 España Risk Factors in Third and Fourth Degree Perineal Tears in Women in a Tertiary Centre: An Observational Ambispective Cohort Study journal article URL https://docta.ucm.es/bitstreams/8ec95e76-9a30-43b8-9db8-211288ca9bb5/download File MD5 bf898615dba79959232b75be660e657a 750354 application/pdf jpm-11-00685-v2.pdf