The role of maternal age and episiotomy in the risk of anal sphincter tears during childbirth

Australian and New Zealand Journal of Obstetrics and Gynaecology

Volumn 47, Issue 4, 2007, Pages 286-290

  Gerdin, Eva ^a   Sverrisdottir, Gudlaug ^a   Badi, Amal ^a   Carlsson, Björn ^b   Graf, Wilhelm ^a  

^a UPPSALA UNIVERSITY   (Sweden)

^b CENTRAL HOSPITAL   (Sweden)

Author keywords

Anal sphincter tear; Delivery; Episiotomy; Risk factors

Indexed keywords

ADULT; AGE; ANUS SPHINCTER DISORDER; ANUS SPHINCTER TEAR; ARTICLE; BIRTH WEIGHT; CONTROLLED STUDY; EPIDURAL ANESTHESIA; EPISIOTOMY; FEMALE; HUMAN; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MATERNAL AGE; MEDICAL DECISION MAKING; NULLIPARA; PRIORITY JOURNAL; RISK FACTOR; VAGINAL DELIVERY;

ADULT; ANAL CANAL; DELIVERY, OBSTETRIC; EPISIOTOMY; FEMALE; HUMANS; LOGISTIC MODELS; MATERNAL AGE; MULTIVARIATE ANALYSIS; PARITY; PREGNANCY; RISK FACTORS; RUPTURE;

EID: 34447532345     PISSN: 00048666     EISSN: 1479828X     Source Type: Journal    
DOI: 10.1111/j.1479-828X.2007.00739.x     Document Type: Article

References (38)

1. Perry S, Shaw C, McGrother C et.al. Prevalence of faecal incontinence in adults aged 40 years or more living in the community. Gut 2002; 50: 480-484.
2. Kalantar JS, Howell S, Talley NJ. Prevalence of faecal incontinence and associated risk factors; an underdiagnosed problem in the Australian community? Med J Aust 2002; 176: 54-57.
3. Faltin DL, Sangalli MR, Curtin F, Morabia A, Weil A. Prevalence of anal incontinence and other anorectal symptoms in women. Int Urogynecol J Pelvic Floor Dysfunct 2001; 12: 117-120.
4. Zetterström J, Mellgren A, Jensen LL et.al. Effect of delivery on anal sphincter morphology and function. Dis Colon Rectum 1999; 42: 1253-1260.
5. Sato T, Konishi F, Minakami H et.al. Pelvic floor disturbances after childbirth: Vaginal delivery damages the upper levels of sphincter innervation. Dis Colon Rectum 2001; 44: 1155-1161.
6. Walsh CJ, Mooney EF, Upton GJ, Motson RW. Incidence of third degree perineal tears in labour and outcome after primary repair. Br J Surg 1996; 83: 218-221.
7. Sultan AH, Kamm MA, Hudson CN, Thomas JM, Bartram CI. Anal sphincter disruption during vaginal delivery. N Engl J Med 1993; 329: 1905-1911.
8. Jandér C, Lyrenäs S. Third and fourth degree perineal tears. Predictor factors in a referral hospital. Acta Obstet Gynecol Scand 2001; 80: 229-234.
9. Sultan AH, Kamm MA, Hudson CN, Bartram CI. Third degree obstetric anal sphincter tears: Risk factors and outcome of primary repair. BMJ 1994; 308: 887-891.
10. Haadem K, Dahlström JA, Ling L, Ohrlander S. Anal sphincter function after delivery rupture. Obstet Gynecol 1987; 70: 53-56.
11. De Leeuw JW, Vierhout ME, Struijk PC, Hop WC, Wallenburg HC. Anal sphincter damage after vaginal delivery: Functional outcome and risk factors for fecal incontinence. Acta Obstet Gynecol Scand 2001; 80: 830-834.
12. Goh JT. Genital tract fistula repair on 116 women. Aust NZ J Obstet Gynaecol 1998; 38: 158-161.
13. Laurberg S, Swash M, Henry MM. Delayed external sphincter repair for obstetric tear. Br J Surg 1988; 75: 786-788.
14. Osterberg A, Eeg-Olofsson KE, Graf W. Results of surgical treatment for faecal incontinence. Br J Surg 2000; 87: 1546-1552.
15. Malouf JA, Norton CS, Engel AF, Nicholls JR, Kamm MA. Long-term results of overlapping anterior anal sphincter repair for obstetric trauma. Lancet 2000; 355: 260-265.
16. De Leeuw JW, Struijk PC, Vierhout ME, Wallenburg HC. Risk factors for third degree perineal ruptures during delivery. Br J Obstet Gynaecol 2001; 108: 383-387.
17. Varma A, Gunn J, Lindow SW, Duthie GS. Do routinely measured delivery variables predict anal sphincter outcome? Dis Colon Rectum 1999; 42: 1261-1264.
18. Angioli R, Gomez-Marin O, Cantuaria G, O'Sullivan MJ. Severe perineal lacerations during vaginal delivery: The University of Miami experience. Am J Obstet Gynecol 2000; 182: 1083-1085.
19. Eason E, Labrecque M, Marcoux S, Mondor M. Anal incontinence after childbirth. CMAJ 2002; 166: 337-338.
20. Parnell C, Langhoff-Roos J, Moller H. Conduct of labor and rupture of the sphincter ani. Acta Obstet Gynecol Scand 2001; 80: 256-261.
21. Dandulo V, Chatwani A, Harmanli O, Floro C, Gaughan JP, Hernandez E. Risk factors for obstetrical anal sphincter lacerations. Int Urogynecol J Pelvic Floor Dysfunct 2005; 16: 304-307.
22. Williams A, Tincello DG, White S, Adams EJ, Alfirevic Z, Richmond DH. Risk scoring system for prediction of obstetric anal sphincter injury. BJOG 2005; 112: 1066-1069.
23. Samuelsson E, Ladfors L, Wennerholm UB, Gareberg B, Nyberg K, Hagberg H. Anal sphincter tears: Prospective study of obstetric risk factors. Br J Obstet Gynaecol 2000; 107: 926-931.
24. Zetterström J, Lopez A, Anzén B, Norman M, Holmström B, Mellgren A. Anal sphincter tears at vaginal delivery: Risk factors and clinical outcome of primary repair. Obstet Gynecol 1999; 94: 21-28.
25. Bek KM, Laurberg S. Intervention during labour: Risk factors associated with complete tear of the anal sphincter. Acta Obstet Gynecol Scand 1992; 71: 520-524.
26. Helwig JT, Thorp JM, Bowes WA. Does midline episiotomy increase the risk of third- and fourth-degree lacerations in operative vaginal deliveries? Obstet Gynecol 1993; 82: 276-279.
27. Bérard J, Dufour P, Vinatier D et.al. Fetal macrosomia: Risk factors and outcome concerning 100 cases > 4500 g. Eur J Obstet Gynecol Reprod Biol 1998; 77: 51-59.
28. Combs CA, Robertson PA, Laros RK. Risk factors for third-degree and fourth-degree perineal lacerations in forceps and vacuum deliveries. Am J Obstet Gynecol 1990; 163: 100-104.
29. Sultan AH, Kamm MA, Bartram CI, Hudson CN. Anal sphincter trauma during instrumental delivery. Int J Gynecol Obstet 1993; 43: 263-270.
30. Robinson JN, Norwitz ER, Cohen AP, Mcelrath TF, Liberman ES. Epidural analgesia and third- or fourth-degree lacerations in nulliparas. Obstet Gynecol 1999; 94: 259-262.
31. Eason E, Labrecque M, Wells G, Feldman P. Preventing perineal trauma during childbirth: A systematic review. Obstet Gynecol 2000; 95: 464-471.
32. Thacker SB, Banta HD. Benefits and risks of episiotomy: An interpretative review of the English language literature, 1860-1980. Obstet Gynecol Surv 1983; 38: 322-338.
33. Labrecque M, Baillargeon L, Dallaire M, Tremblay A, Pinault JJ, Gingras S. Association between median episiotomy and severe perineal lacerations in primiparous women. Can Med Assoc J 1997; 156: 797-802.
34. Woolley RJ. Benefits and risks of episiotomy: A review of the English-Language literature since 1980. Part I and II. Obstet Gynecol Surv 1995; 50: 806-835.
35. Klein MC, Gauthier RJ, Robbins JM et.al. Relationship of episiotomy to perineal trauma and morbidity, sexual dysfunction, and pelvic floor relaxation. Am J Obstet Gynecol 1994; 171: 591-598.
36. Beukens P, Lagasse R, Dramaix M, Wollast E. Episiotomy and third-degree tears. Br J Obstet Gynaecol 1985; 92: 820-823.
37. Poen AC, Felt-Bersma RFJ, Dekker GA, DevilléW, Cuesta MA, Meuwissen SGM. Third-degree obstetric perineal tears: Risk factors and preventive role of mediolateral episiotomy. Br J Obstet Gynaecol 1997; 104: 563-566.
38. Howell CJ, Kidd C, Roberts W et.al. A randomized controlled trial of epidural compared with non-epidural analgesia in labour. Br J Obstet Gynaecol 2001; 108: 27-33.