@entity4551 and postpartum XXXX .

@entity1 @entity2411 @entity4551 @entity158 @entity546
OBJECTIVE: To report the type and prevalence of obstetric lacerations in a primigravid @entity1 population after term spontaneous vaginal delivery without episiotomy. We examined the characteristics of lacerations in @entity1 with postpartum @entity546 or @entity2411 . STUDY DESIGN: This was a retrospective cohort of primiparous @entity1 who spontaneously delivered in the residents' service at a large urban hospital under the supervision of Ob/Gyn faculty. Data was extracted from medical records using discharge diagnosis codes. Postpartum medical records and diagnostic codes of all @entity1 with lacerations and postpartum @entity546 were reviewed. The study was IRB approved. RESULTS: A cohort of 1617 primiparous @entity1 with spontaneous vaginal delivery met the inclusion criteria. No tears were recorded in 836 @entity1 (51.7%), first-degree tears in 413 cases (25.5%), second-degree tears in 271 cases (16.8%), third-degree tears in 58 cases (3.6%), fourth-degree in 21 cases (1.3%), and 18 cases (1.1%) were not further classified. Only 51 @entity1 (3.2%) with first- and second-degree lacerations had postpartum complications, and merely 6 (0.4%) had @entity158 and 6 (0.4%) had @entity546 . However, 4 of those @entity1 (33.3%) required vulvoplasty for @entity546 . CONCLUSION: Almost half of @entity1 with spontaneous vaginal delivery without episiotomy experienced some @entity4551 . A first degree was documented in >25% of cases; however, <10% of those subsequently had complaints of @entity158 or @entity546 .
