Peripartum Genital Tract Trauma
Conditions
Brief summary
Peripartum genital tract injuries (PVT) are common after vaginal delivery and can lead to physical, psychological, and functional sequelae. While several risk factors have been established in the literature, the link between epidural analgesia and these injuries remains controversial. The primary objective of this study was to evaluate the impact of epidural analgesia on the occurrence of PVT. Secondary objectives were to examine its association with instrumentation, episiotomy, and induction of labor, to identify independent risk factors for PVT, and to develop a predictive model for the risk of these injuries.
Interventions
Data collection from medical files
Sponsors
Tatiana Besse-Hammer
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Vaginal delivery within the CHU Brugmann Hospital, from January 1 2020 till December 31 2002
Exclusion criteria
* Incomplete medical files * Delivery before 25 weeks of pregnancy * Out of Hospital delivery * Medical termination of pregnancy (MTP) * Cesarean delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of peripartum genital tract trauma | At delivery | Peripartum genital tract trauma is defined as any obstetric injury occurring during vaginal delivery, including perineal tears, episiotomies, and uterine ruptures. |
| Type of peripartum genital tract trauma | At delivery | Distribution and severity of trauma (perineal tears from D1 to D4 according to OMS CIM-10 classification, D1 being superficial damage, versus episiotomies versus uterine ruptures). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Instrumentation rate | At delivery | Use of forceps, suction cup, spatulas. |
| Labor induction rate | At delivery | Labor induction |
Countries
Belgium
Outcome results
None listed