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Re: Back to episiotomies... From: Anatoli I. Garkusha (midilover@yahoo.com) Tue Sep 19 22:26:37 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anatoli I. Garkusha: "Re: Perimenopausal hot flashes" Previous message: ND84MD@aol.com: "Re: Pregnancy after abdominal mesh placement (long)" Maybe in reply to: DoctorJoe@aol.com: "Back to episiotomies..." My comment is: Thanx for this interesting information. Shall look closer into it. Anatoli I. Garkusha, MD. Kiev, Ukraine. - > Southern Medical Journal 93(9), 873-6, 2000. > >Striae Gravidarum as a Predictor of Vaginal Lacerations at Delivery >Andrea J. Wahman, Michael A. Finan, and S. Cameron Emerson >ABSTRACT >Background. Abdominal stretch marks found during pregnancy may be indicative >of poor skin elasticity. One who does not have stretch marks may have better >skin elasticity and may be less likely to tear perineal and vaginal tissue >during vaginal delivery. This study was conducted to determine whether striae >gravidarum could predict lacerations and their severity. >Methods. This prospective observational study included 168 women having >vaginal delivery of infants who weighed more than 2,000 g. The absence or >presence and degree of lacerations involving the perineum, vagina, labia, and >periurethral regions were studied with a step-wise multivariate logistic >regression analysis. >Results. Episiotomy was found to prevent spontaneous lacerations. Abdominal >stretch marks were found to be statistically significant predictors of >lacerations when controlling for episiotomy. >Conclusions. Patients with striae gravidarum are at higher risk for >lacerations at the time of vaginal delivery than patients who do not have >abdominal stretch marks. > >Anyone read this? Any comments? > >Joe P. > Next message: Anatoli I. Garkusha: "Re: Perimenopausal hot flashes" Previous message: ND84MD@aol.com: "Re: Pregnancy after abdominal mesh placement (long)" Maybe in reply to: DoctorJoe@aol.com: "Back to episiotomies..."

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