Anthropometric Features and Third-Fourth Degree Perineal Tears
The main objective of this study was to evaluate the association between maternal and fetal anthropometric characteristics and third- and fourth-degree perineal tears. This retrospective cohort study considered all consecutive pregnancies from 2011 to 2017 at a single Institution. The inclusion crit...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/13/3/545 |
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| author | Arrigo Fruscalzo Alice Novak Camilla Somma Anjeza Xholli Virginia Michelerio Federico Prefumo Ambrogio P. Londero Angelo Cagnacci |
| author_facet | Arrigo Fruscalzo Alice Novak Camilla Somma Anjeza Xholli Virginia Michelerio Federico Prefumo Ambrogio P. Londero Angelo Cagnacci |
| author_sort | Arrigo Fruscalzo |
| collection | DOAJ |
| description | The main objective of this study was to evaluate the association between maternal and fetal anthropometric characteristics and third- and fourth-degree perineal tears. This retrospective cohort study considered all consecutive pregnancies from 2011 to 2017 at a single Institution. The inclusion criteria were: singletons who delivered vaginally during the study period, the presence of information on maternal pre-pregnancy weight, maternal height, and weight of the newborn. The feto-maternal body-mass index (BMI) was calculated as neonatal weight in kg on maternal height in squared meters (kg/m<sup>2</sup>). In total, 5397 singleton-term pregnancies were included; the prevalence of third-fourth-degree perineal tears was 0.47%. The most predictive factors were: nulliparity, feto-maternal BMI, neonatal weight, gestational age at delivery, and neonatal head circumference. After adjustment in multivariate analysis, the only independent predictors were nulliparity and fetomaternal BMI. The AUC of the final multivariate model was 73.54% (95% CI 65.65–81.42). Furthermore, feto-maternal BMI and gestational age had a significant direct correlation. Nulliparity and feto-maternal BMI are the two best predictors for third and fourth-degree perineal tears in our setting. Confirming this association in future research and integrating it into a decision algorithm on delivery timing could reduce obstetric damage to the anal sphincter. |
| first_indexed | 2024-03-11T06:19:04Z |
| format | Article |
| id | doaj.art-4afd4c84d2634bc98a4a82743b942591 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-11T06:19:04Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-4afd4c84d2634bc98a4a82743b9425912023-11-17T12:03:52ZengMDPI AGJournal of Personalized Medicine2075-44262023-03-0113354510.3390/jpm13030545Anthropometric Features and Third-Fourth Degree Perineal TearsArrigo Fruscalzo0Alice Novak1Camilla Somma2Anjeza Xholli3Virginia Michelerio4Federico Prefumo5Ambrogio P. Londero6Angelo Cagnacci7Clinic of Obstetrics and Gynecology, University Hospital of Fribourg, 1752 Fribourg, SwitzerlandClinic of Obstetrics and Gynecology, DAME, Academic Hospital of Udine, 33100 Udine, ItalyClinic of Obstetrics and Gynecology, DAME, Academic Hospital of Udine, 33100 Udine, ItalyAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale San Martino, 16132 Genoa, ItalyAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale San Martino, 16132 Genoa, ItalyObstetrics and Gynecology Unit, IRCCS Istituto Giannina Gaslini, 16147 Genova, ItalyObstetrics and Gynecology Unit, IRCCS Istituto Giannina Gaslini, 16147 Genova, ItalyAcademic Unit of Obstetrics and Gynecology, IRCCS Ospedale San Martino, 16132 Genoa, ItalyThe main objective of this study was to evaluate the association between maternal and fetal anthropometric characteristics and third- and fourth-degree perineal tears. This retrospective cohort study considered all consecutive pregnancies from 2011 to 2017 at a single Institution. The inclusion criteria were: singletons who delivered vaginally during the study period, the presence of information on maternal pre-pregnancy weight, maternal height, and weight of the newborn. The feto-maternal body-mass index (BMI) was calculated as neonatal weight in kg on maternal height in squared meters (kg/m<sup>2</sup>). In total, 5397 singleton-term pregnancies were included; the prevalence of third-fourth-degree perineal tears was 0.47%. The most predictive factors were: nulliparity, feto-maternal BMI, neonatal weight, gestational age at delivery, and neonatal head circumference. After adjustment in multivariate analysis, the only independent predictors were nulliparity and fetomaternal BMI. The AUC of the final multivariate model was 73.54% (95% CI 65.65–81.42). Furthermore, feto-maternal BMI and gestational age had a significant direct correlation. Nulliparity and feto-maternal BMI are the two best predictors for third and fourth-degree perineal tears in our setting. Confirming this association in future research and integrating it into a decision algorithm on delivery timing could reduce obstetric damage to the anal sphincter.https://www.mdpi.com/2075-4426/13/3/545third- and fourth-degree perineal tearsobstetrical complicationsvaginal deliveryanal sphincter lacerationfeto-maternal body-mass index |
| spellingShingle | Arrigo Fruscalzo Alice Novak Camilla Somma Anjeza Xholli Virginia Michelerio Federico Prefumo Ambrogio P. Londero Angelo Cagnacci Anthropometric Features and Third-Fourth Degree Perineal Tears Journal of Personalized Medicine third- and fourth-degree perineal tears obstetrical complications vaginal delivery anal sphincter laceration feto-maternal body-mass index |
| title | Anthropometric Features and Third-Fourth Degree Perineal Tears |
| title_full | Anthropometric Features and Third-Fourth Degree Perineal Tears |
| title_fullStr | Anthropometric Features and Third-Fourth Degree Perineal Tears |
| title_full_unstemmed | Anthropometric Features and Third-Fourth Degree Perineal Tears |
| title_short | Anthropometric Features and Third-Fourth Degree Perineal Tears |
| title_sort | anthropometric features and third fourth degree perineal tears |
| topic | third- and fourth-degree perineal tears obstetrical complications vaginal delivery anal sphincter laceration feto-maternal body-mass index |
| url | https://www.mdpi.com/2075-4426/13/3/545 |
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