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Mode of delivery following a perineal tear and recurrence rate in subsequent pregnancies
Date:7/8/2014

, notes the report.

The authors of the study recognise the risks associated with an elective caesarean, and decisions about subsequent mode of delivery in women who had a severe perineal tear in an earlier pregnancy must be weighed against the clinical and psychological impacts of severe perineal tearing.

Dr Leroy Edozien, a consultant obstetrician from the University of Manchester and co-author of the study said:

"Our study shows that the relative risk of a repeat tear is a five-fold increase and the absolute risk of a repeat tear is about 7 in 100. Clinicians should communicate both the relative and the absolute risk when discussing mode of delivery with women who suffered a severe tear in their previous pregnancy."

Dr Ipek Gurol-Urganci from the London School of Hygiene and Tropical Medicine and co-author added:

"Our results emphasise the need for clear national guidance for healthcare professionals on the optimal mode of delivery for women with a prior severe perineal tear so that they can be counselled appropriately."

John Thorp, BJOG deputy editor-in-chief said:

"This study captures over 96% of all deliveries in NHS hospitals in England over a 7 year period, and represents the first piece of research into the mode of delivery and recurrence rate in a pregnancy subsequent to a third or fourth degree perineal tear.

"The results highlight the increased risk of severe tearing in women who have a third or fourth degree tear in their first delivery and therefore will help women along with a multidisciplinary team of healthcare professionals to make decisions about the mode of delivery in future pregnancies to ensure the best outcomes for mother and baby."


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Contact: Nicole Weingartner
sciencenewsroom@wiley.com
201-748-5808
Wiley
Source:Eurekalert

Page: 1 2

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