Khaskheli Meharunnissa, Baloch Shahla, Baloch Aneela Sheeba
Department of Obstetrics and Gynaecology, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
J Coll Physicians Surg Pak. 2012 Feb;22(2):95-7.
To determine the frequency, types and complications of genital tract trauma during child birth.
Case series.
Department of Obstetrics and Gynaecology, Unit I, Liaquat University of Medical and Health Sciences, Jamshoro, from June 2006 to May 2010.
All women who sustained genital tract trauma during delivery at the study centre and those referred from periphery with the same condition within 40 days of delivery were enrolled in the study. Exclusion criteria were women who sustained genital tract injury with caesarean section and genital tract trauma due to accident. Studied variables included age of women, parity, place of labour, type of trauma received and its immediate complications. The data was expressed in terms of descriptive statistics.
Out of a total 9216 cases admitted in maternity ward during the study period, 467 cases (5.06%) had sustained genital tract trauma. The most frequent obstetrical trauma seen in primiparous referral cases were vaginal tears in 16 cases (25.39%) and perineal tears in 12 cases (19.04%). Multiparous women were 196 (41.97%) and cervical tears were the most frequent obstetrical trauma in them (n=52, 26.53%). Grand multiparous women were 208 having cervical tears (44.4%) and uterine rupture in 77 cases (37.01%) each. Most frequent early morbidities were postpartum haemorrhage (n= 352, 75.37%), hypovolemic shock (n= 220, 47.10%) and infection (n=158, 33.83%). The mortality rate was 16.05%.
Genital tract trauma is a common complication of vaginal birth mostly seen in grand multipara, leading to haemorrhage, shock and infection.
确定分娩期间生殖道创伤的发生率、类型及并发症。
病例系列研究。
2006年6月至2010年5月，于詹姆肖罗市利亚卡特医科大学卫生科学学院第一妇产科。
纳入所有在研究中心分娩时发生生殖道创伤的妇女以及在分娩后40天内从周边转诊来的患有相同病症的妇女。排除标准为剖宫产时发生生殖道损伤的妇女以及因意外导致生殖道创伤的妇女。研究变量包括妇女年龄、产次、分娩地点、所受创伤类型及其即刻并发症。数据以描述性统计表示。
在研究期间产科病房收治的9216例病例中，467例（5.06%）发生了生殖道创伤。初产妇转诊病例中最常见的产科创伤为阴道撕裂16例（25.39%）和会阴撕裂12例（19.04%）。经产妇为196例（41.97%），其中宫颈撕裂是最常见的产科创伤（n = 52，26.53%）。多产妇为208例，宫颈撕裂（44.4%）和子宫破裂各77例（37.01%）。最常见的早期发病情况为产后出血（n = 352，75.37%）、低血容量性休克（n = 220，47.10%）和感染（n = 158，33.83%）。死亡率为16.05%。
生殖道创伤是阴道分娩的常见并发症，多见于多产妇，可导致出血、休克和感染。
