Measure Incidence of 3rdand 4th degree perineal tear among pregnant ladies in King Abdulaziz Medical City, Jeddah - delivering vaginally and assisted vaginal deliveries

Abstract

Abstract Objective: The aim of the present study is to assess the incidence of 3rd and 4th perineal tear among patient who deliver vaginally or with assisted vaginal delivery in King Abdulaziz Medical City (KAMC) Jeddah. Methods: Settings: A population based retrospective cohort study conducted all deliveries with 3rd and 4 th vaginal tear analyzed from January 2016- January 2019 in King Abdulaziz Medical City, Jeddah. The hospital has around 3400 deliveries per year. Subjects: There was a total of 10,517 deliveries from January 2016 until January 2019. A total of 3,357 (31.9% ) Cesarean sections delivery were excluded from the study. Results: Parity: It has a great impact of having a 3rd and 4thperineal tear in about 113 cases were nulliparous. Total of 78.2% of women had sever perineal tear were nulliparous. Instrumental delivery: In our study ventouse delivery account for 40% of all delivery with 3rd and 4th degree perineal tear. Whereas forceps delivery account for 2.1 %. Episiotomy: After reviewing the data, total number of

Abstract Objective: The aim of the present study is to assess the incidence of 3rd and 4th perineal tear among patient who deliver vaginally or with assisted vaginal delivery in King Abdulaziz Medical City (KAMC) Jeddah. Methods: Settings: A population based retrospective cohort study conducted all deliveries with 3rd and 4 th vaginal tear analyzed from January 2016- January 2019 in King Abdulaziz Medical City, Jeddah. The hospital has around 3400 deliveries per year. Subjects: There was a total of 10,517 deliveries from January 2016 until January 2019. A total of 3,357 (31.9% ) Cesarean sections delivery were excluded from the study. Results: Parity: It has a great impact of having a 3rd and 4thperineal tear in about 113 cases were nulliparous. Total of 78.2% of women had sever perineal tear were nulliparous. Instrumental delivery: In our study ventouse delivery account for 40% of all delivery with 3rd and 4th degree perineal tear. Whereas forceps delivery account for 2.1 %. Episiotomy: After reviewing the data, total number of patients who had episiotomy from january 2016 until January 2019 were 1059 cases about 45 cases had sever perineal tears (4.2 %). Position: In our study about 52.77 % are undetermined position ,36.8% are occipitoanterior position and 9% are occipitoposterior, as observed undetermined vertex position is high. Anesthesia and suturing: Patients who had local anesthesia were 51.7 %, epidural 35.2 %, spinal 6.9 %. About 86.9 % of cases were suture in labor and delivery room. 12.4 % of cases were suture in operating room Conclusion: Result from our study showed that instrumental delivery and nulliparity are major risk factors for having sever perineal tears.

patients who had episiotomy from january 2016 until January 2019 were 1059 cases about 45 cases had sever perineal tears (4.2 %). Position: In our study about 52.77 % are undetermined position ,36.8% are occipitoanterior position and 9% are occipitoposterior, as observed undetermined vertex position is high. Anesthesia and suturing: Patients who had local anesthesia were 51.7 %, epidural 35.2 %, spinal 6.9 %. About 86.9 % of cases were suture in labor and delivery room. 12.4 % of cases were suture in operating room Conclusion: Result from our study showed that instrumental delivery and nulliparity are major risk factors for having sever perineal tears.