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TITLE:

FREQUENCY AND SEVERITY OF PERINEAL TEARS AMONG TEENAGE MOTHERS DURING FIRST VAGINAL DELIVERY

AUTHORS:

Dr. Fauzia Anbreen, Dr. Uzma Zaman

ABSTRACT:

Objective: To determine frequency of different grades of perineal trears among teenage mothers during their first delivery. Setting: It is a multicenter study conducted in gynecology and obstetrics department of Gomal Medical College and DHQ Teaching Hospital Dera Ismail Khan. Design & duration: This is a cross sectional study completed in six months duration from July to December 2019. Patients & methods: Patients admitted in gynecology and obstetrics ward of study hospital were included in the study using non-probability consecutive sampling technique. Sample size was determined using WHO sample size calculator. Inclusion and exclusion criteria were made for selection of patients. A predesigned Performa was used to document data of the patients relevant to the study topic. All data was analyzed using SPSS software and results were calculated in the form of frequency, percentages, mean and standard deviation. Confidence interval was 95%, margin of error was 5%. P-value less than 0.05 were taken significant. Results: Study was conducted on 250 teenage mothers, primipara undergoing first childbirth through spontaneous vaginal delivery, with age ranging 14-20 years, mean age 16.5±2.2 years. Minimum age was reported 14 years. There were 61.6% mothers, having BMI between 20-25 kg/m2. Perineal tear reported in 74% cases. First degree tear was seen in most of the mothers (74%). Conclusion: Most of the female in study group undergoing first childbirth via spontaneous vaginal delivery experienced perineal tears commonly of first degree. Key words: Perineal tears, spontaneous vaginal delivery, perineal trauma, first childbirth

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