Open AccessGENITAL TRACT TRAUMA
Author(s) -
Anam Zulfiqar,
Afshan Saeed,
Shahana Rahat
Publication year - 2018
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2018.25.04.349
Subject(s) - medicine , vagina , obstetrics , referral , tears , genital tract , vaginal delivery , vulva , sex organ , birth weight , gynecology , pregnancy , surgery , nursing , physiology , biology , genetics
Aims and objectives: To record frequency of factors responsible for genitaltract trauma in pregnant females undergoing vaginal delivery. Study Design: Descriptivecross sectional trial. Period: 18-11-2015 to 17-02-2016 (3 months). Settings: Holy FamilyHospital, Rawalpindi. Material & methods: 100 cases with genital tract trauma during delivery(at hospital or referral) in the form of tears or laceration, which may be cervical, vaginal orperineal were included in the study. After third stage of labour, we examined vulva, vagina andcervix for presence of any tears/lacerations. The causative factors of lacerations/tears includingmode of delivery (assisted/spontaneous) birth weight of the neonate ( 4kg), multiparous/ primiparous and place of labour (referral/institutional) were recorded. Results: Mean age28.88+3.41 years, cervical injury in 26% (n=26) cases, vaginal injury was present in 36%(n=36) and 38% (n=38) and findings of perineal injury. Risk factors causing genital tract traumawere recorded as 10%(n=10) had institutional place of labour while 90%(n=90) were deliveredoutside hospital through untrained health care providers, 24%(n=24) were primiparous while76%(n=76) were multiparous, 69%(n=69) were delivered spontaneously, 31%(n=31) hadassisted delivery, 67%(n=67) had >4kg fetal weight at birth while 33%(n=33) had <4kg weightof fetus at birth. Conclusion: Un-booked and birth outside hospital by unskilled health careworkers was the significant risk factor responsible for genital tract trauma.