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Peripartum genital tract injuries (PVT) are common after vaginal delivery and can lead to physical, psychological, and functional sequelae. While several risk factors have been established in the literature, the link between epidural analgesia and these injuries remains controversial. The primary objective of this study was to evaluate the impact of epidural analgesia on the occurrence of PVT. Secondary objectives were to examine its association with instrumentation, episiotomy, and induction of labor, to identify independent risk factors for PVT, and to develop a predictive model for the risk of these injuries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Deliveries with epidural analgesia |
| ||
| Deliveries without epidural analgesia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Data collection from medical files | Other | Data collection from medical files |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of peripartum genital tract trauma | Peripartum genital tract trauma is defined as any obstetric injury occurring during vaginal delivery, including perineal tears, episiotomies, and uterine ruptures. | At delivery |
| Type of peripartum genital tract trauma | Distribution and severity of trauma (perineal tears from D1 to D4 according to OMS CIM-10 classification, D1 being superficial damage, versus episiotomies versus uterine ruptures). | At delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Instrumentation rate | Use of forceps, suction cup, spatulas. | At delivery |
| Labor induction rate | Labor induction | At delivery |
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Inclusion Criteria:
Vaginal delivery within the CHU Brugmann Hospital, from January 1 2020 till December 31 2002
Exclusion Criteria:
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Women giving birth by vaginal delivery within the CHU Brugmann Hospital, from January 1 2020 till December 31 2002
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| Name | Affiliation | Role |
|---|---|---|
| Seyed Javad BIDGOLI, MD | CHU Brugmann | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU Brugmann | Brussels | 1020 | Belgium |
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