Incidence and risk factors of cervical laceration following vaginal deliveries in Punakha, Bhutan.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-03-11 DOI:10.1093/trstmh/traf027

Nima Dorji, Manish Raj Gurung, Kinga Wangmo, Pema Wangchuk, Daniel Chateau, Tsheten Tsheten

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Abstract

Background: Cervical laceration is a critical health issue with significant maternal morbidity and mortality worldwide. This study aimed to evaluate the incidence and risk factors of cervical laceration among mothers following spontaneous vaginal delivery in Punakha, Bhutan.

Methods: This retrospective study using a population-based sampling technique included 180 mothers who had spontaneous vaginal delivery. The researchers developed the instruments for data collection and employed logistic regression to identify the predictors of cervical laceration.

Results: The incidence of cervical laceration was 23.10% (95% confidence interval [CI] 18.2 to 27.9). Logistic regression revealed that mothers ≤19 y of age had 3.5 times higher odds of experiencing cervical lacerations compared with those ≥30 y of age (adjusted odds ratio 3.5 [95% CI 1.27 to 9.74]).

Conclusions: The incidence of cervical laceration was high in this study, with teenagers being at greater risk of experiencing this complication. The Health Ministry of Bhutan needs to strategize and revamp the existing policies and create better awareness campaigns to reduce teenage pregnancies and the grave consequences associated with it.

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在不丹普纳卡，阴道分娩后宫颈撕裂伤的发生率和危险因素。

背景：宫颈撕裂伤是一个严重的健康问题，在世界范围内具有显著的孕产妇发病率和死亡率。本研究旨在评估不丹普纳卡自然阴道分娩后母亲宫颈撕裂伤的发生率和危险因素。方法：本回顾性研究采用基于人群的抽样技术，包括180名自然阴道分娩的母亲。研究人员开发了数据收集工具，并采用逻辑回归来确定颈椎撕裂伤的预测因素。结果：宫颈撕裂伤发生率为23.10%（95%可信区间[CI] 18.2 ~ 27.9）。Logistic回归显示，年龄≤19岁的母亲发生宫颈撕裂伤的几率是年龄≥30岁母亲的3.5倍（校正优势比为3.5 [95% CI 1.27 ~ 9.74]）。结论：在这项研究中，颈椎撕裂伤的发生率很高，青少年发生这种并发症的风险更大。不丹卫生部需要制定战略并修改现有政策，开展更好的宣传运动，以减少少女怀孕及其相关的严重后果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.00

自引率

9.10%

发文量

115

审稿时长

4-8 weeks

期刊介绍： Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.