Genital tract tears in women giving birth on a birth seat : A cohort study with prospectively collected data
Thies-Lagergren, Li LU
; Uldbjerg, Trine
and Damkjær, Rikke Maimburg
(2020)
In Women and Birth
33(1).
p.15-21
- Abstract
Background: Birth positions may influence the risk of tears in the genital tract during birth. Birth positions are widely studied yet knowledge on genital tract tears following birth on a birth seat is inconclusive. Aim: The objective of this study was to describe the proportion of genital tract tears in women who gave birth on a birth seat compared to women who did not. Method: An observational cohort study based on birth information collected prospectively. In total 10 629 live, singleton, non-instrumental births in cephalic presentation were studied. Results: Fewer women who gave birth on a birth seat experienced an overall intact genital tract compared to women who gave birth in any other position. Women who gave birth on a birth... (More)
Background: Birth positions may influence the risk of tears in the genital tract during birth. Birth positions are widely studied yet knowledge on genital tract tears following birth on a birth seat is inconclusive. Aim: The objective of this study was to describe the proportion of genital tract tears in women who gave birth on a birth seat compared to women who did not. Method: An observational cohort study based on birth information collected prospectively. In total 10 629 live, singleton, non-instrumental births in cephalic presentation were studied. Results: Fewer women who gave birth on a birth seat experienced an overall intact genital tract compared to women who gave birth in any other position. Women who gave birth on a birth seat were less likely to have an episiotomy performed. Women who gave birth vaginally on a birth seat after a previous caesarean section may have an increased risk for sustaining a sphincter tear. Discussion: It is important to be aware of the decreased chance of an overall intact genital tract area when giving birth on a birth seat. Furthermore, there is a possibly increased risk of sphincter tear in women having a vaginal birth after caesarean. It is required and of importance to provide pregnant women with evidence-based information on factors associated with genital tract tears including birth positions.
(Less)
- author
- Thies-Lagergren, Li
LU
; Uldbjerg, Trine
and Damkjær, Rikke Maimburg
- organization
- publishing date
- 2020-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Birth position, Birth seat, Genital tract tears, VBAC
- in
- Women and Birth
- volume
- 33
- issue
- 1
- pages
- 7 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85059754141
- pmid:30642782
- ISSN
- 1871-5192
- DOI
- 10.1016/j.wombi.2018.12.006
- language
- English
- LU publication?
- yes
- id
- 7029844d-7ab4-4afe-bee2-3bc29b405b3a
- date added to LUP
- 2019-01-24 12:46:26
- date last changed
- 2025-01-09 00:51:00
@article{7029844d-7ab4-4afe-bee2-3bc29b405b3a,
abstract = {{<p>Background: Birth positions may influence the risk of tears in the genital tract during birth. Birth positions are widely studied yet knowledge on genital tract tears following birth on a birth seat is inconclusive. Aim: The objective of this study was to describe the proportion of genital tract tears in women who gave birth on a birth seat compared to women who did not. Method: An observational cohort study based on birth information collected prospectively. In total 10 629 live, singleton, non-instrumental births in cephalic presentation were studied. Results: Fewer women who gave birth on a birth seat experienced an overall intact genital tract compared to women who gave birth in any other position. Women who gave birth on a birth seat were less likely to have an episiotomy performed. Women who gave birth vaginally on a birth seat after a previous caesarean section may have an increased risk for sustaining a sphincter tear. Discussion: It is important to be aware of the decreased chance of an overall intact genital tract area when giving birth on a birth seat. Furthermore, there is a possibly increased risk of sphincter tear in women having a vaginal birth after caesarean. It is required and of importance to provide pregnant women with evidence-based information on factors associated with genital tract tears including birth positions.</p>}},
author = {{Thies-Lagergren, Li and Uldbjerg, Trine and Damkjær, Rikke Maimburg}},
issn = {{1871-5192}},
keywords = {{Birth position; Birth seat; Genital tract tears; VBAC}},
language = {{eng}},
number = {{1}},
pages = {{15--21}},
publisher = {{Elsevier}},
series = {{Women and Birth}},
title = {{Genital tract tears in women giving birth on a birth seat : A cohort study with prospectively collected data}},
url = {{http://dx.doi.org/10.1016/j.wombi.2018.12.006}},
doi = {{10.1016/j.wombi.2018.12.006}},
volume = {{33}},
year = {{2020}},
}