OBJECTIVE: The purpose of this study was to assess the clinical characteristics, risk factors, and effects on subsequent pregnancies of intrapartum cervical lacerations. STUDY DESIGN: A retrospective study of all women who were diagnosed with clinically significant cervical lacerations from 1994-2006. Data were compared with a control group. The outcome of subsequent pregnancies for women in the study and control groups was analyzed. RESULTS: Of 81,047 deliveries, 131 (0.16%) were complicated by cervical lacerations. With multivariate logistic regression analysis, the cervical cerclage, precipitous labor, vacuum extraction, nulliparity, and use of episiotomy were associated independently with cervical lacerations. The outcomes of subsequent pregnancies for women in the cervical-laceration (n = 42) and control (n = 518) groups were similar. There were no cases of recurrent cervical lacerations. CONCLUSION: Careful inspection of the cervix should be considered in cases of precipitous labor, operative vaginal delivery, or cervical cerclage during pregnancy. Intrapartum cervical lacerations do not appear to affect the outcome of subsequent pregnancies.
OBJECTIVE: The purpose of this study was to assess the clinical characteristics, risk factors, and effects on subsequent pregnancies of intrapartum cervical lacerations. STUDY DESIGN: A retrospective study of all women who were diagnosed with clinically significant cervical lacerations from 1994-2006. Data were compared with a control group. The outcome of subsequent pregnancies for women in the study and control groups was analyzed. RESULTS: Of 81,047 deliveries, 131 (0.16%) were complicated by cervical lacerations. With multivariate logistic regression analysis, the cervical cerclage, precipitous labor, vacuum extraction, nulliparity, and use of episiotomy were associated independently with cervical lacerations. The outcomes of subsequent pregnancies for women in the cervical-laceration (n = 42) and control (n = 518) groups were similar. There were no cases of recurrent cervical lacerations. CONCLUSION: Careful inspection of the cervix should be considered in cases of precipitous labor, operative vaginal delivery, or cervical cerclage during pregnancy. Intrapartum cervical lacerations do not appear to affect the outcome of subsequent pregnancies.
Authors: Helain J Landy; S Katherine Laughon; Jennifer L Bailit; Michelle A Kominiarek; Victor Hugo Gonzalez-Quintero; Mildred Ramirez; Shoshana Haberman; Judith Hibbard; Isabelle Wilkins; D Ware Branch; Ronald T Burkman; Kimberly Gregory; Matthew K Hoffman; Lee A Learman; Christos Hatjis; Paul C VanVeldhuisen; Uma M Reddy; James Troendle; Liping Sun; Jun Zhang Journal: Obstet Gynecol Date: 2011-03 Impact factor: 7.661
Authors: Javier A Schvartzman; Hugo Krupitzki; Mario Merialdi; Ana Pilar Betrán; Jennifer Requejo; My Huong Nguyen; Effy Vayena; Angel E Fiorillo; Enrique C Gadow; Francisco M Vizcaino; Felicitas von Petery; Victoria Marroquin; María Luisa Cafferata; Agustina Mazzoni; Valerie Vannevel; Robert C Pattinson; A Metin Gülmezoglu; Fernando Althabe; Mercedes Bonet Journal: Reprod Health Date: 2018-03-12 Impact factor: 3.223