الفهرس 
review of literatureOnly 14 pages are availabe for public view
 |  | from | 168 |  |  |
| | | from | 168 | | |
Abstract
Genital tract trauma can be caused by episiotomy, spontaneous lacerations, or both
which cause short-term and long-term problems for the mothers. Several risk factors have
been established for the development of these perineal injuries. This study aimed to assess the
perineal trauma and to identify the risk factors of perineal trauma during vaginal delivery. A
descriptive study on all women with a planned singleton vaginal delivery between October
2012 to May 2013 in Mansoura General Hospital .A random sample of 150 parturient women
was included Two tools were used for data collection interview sheet and observation
checklist. The outcome measures were incidence, types of perineal trauma, and risk factors
associated with perineal trauma. The proportion of women with an intact perineum at
delivery was 55.3%, the rest had perineal trauma. Second and third degree tear constituted
45.4% of the sample, while 54.6% had first degree tear. Women age, parity, short birth
interval, birth attendant, previous attack of perineal trauma was significantly associated with
perineal trauma. In addition, perineal management technique was significantly associated with
perineal trauma (p=0.00). Conclusion. previous exposure to perineal trauma, current perineal
condition and the use of perineal management techniques are independent risk factors for
perineal trauma. Recommendation. episiotomy should be reserved for specific fetal and
maternal indications and birth attendant need to be educated about perineal care measures to
avoid perineal trauma