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The infection, cervical and perineal lacerations in relation to postpartum hemorrhage following vaginal delivery induced by Cook balloon catheter

  • Maternal-fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

To identify whether infection, cervical laceration and perineal laceration are associated with postpartum hemorrhage in the setting of vaginal delivery induced by Cook balloon catheter.

Materials and methods

The retrospective study included 362 women who gave birth vaginally at or beyond 37 weeks of gestation with a diagnosis of postpartum hemorrhage between February 2021 to May 2022, of which including 216 women with induction of labor (Cook balloon catheter followed by oxytocin or oxytocin) and 146 women with spontaneous delivery. Risk factors for postpartum hemorrhage were collected and compared.

Results

362 women were divided into three groups, group 1 with spontaneous delivery, group 2 with oxytocin, group 3 with Cook balloon catheter followed by oxytocin. There was no significant difference in incidence of infection within three groups (P > 0.05). The rate of cervical laceration and perineal laceration was significantly higher in group 3 compared with groups 2 and 1 (P < 0.05); Multivariate logistic regression analysis found that compared with group 1, either group 3 or group 2 was associated with increased risks of cervical laceration and perineal laceration (P < 0.05), and compared with group 2, group 3 was not associated with increased risks of cervical laceration and perineal laceration (P > 0.05).

Conclusion

Infection, cervical laceration and perineal laceration are identified not to be independent risk factors for postpartum hemorrhage for women undergoing labor with Cook balloon catheter; Cervical laceration and perineal laceration increase the risk of postpartum hemorrhage in women with labor induction.

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Data availability

The datasets analysed during the current study are available from the corresponding author on reasonable request.

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Maternal and Child health care hospital affiliated With Anhui Medical University, Anhui Maternal and Child health care Hospital, NO 15 Yimin Street, Hefei, 230000, China

    Jiao Yi, Lei Chen, Xianglian Meng & Yi Chen

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  1. Jiao Yi
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  2. Lei Chen
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  3. Xianglian Meng
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  4. Yi Chen
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Contributions

JY produced the initial full write up of the manuscript; JY, LC, XLM, and YC contributed to data collection and analysis; JY, LC, and XLM revised the final manuscript carefully. All authors read and agreed with this manuscript.

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Correspondence to Jiao Yi.

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The authors have no relevant financial or non-financial interests to disclose.

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This was a retrospective study with no experimental research on participants, no ethical committee approval was needed.

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All participants included in the study gave their informed consent to the use of their data for the research.

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Yi, J., Chen, L., Meng, X. et al. The infection, cervical and perineal lacerations in relation to postpartum hemorrhage following vaginal delivery induced by Cook balloon catheter. Arch Gynecol Obstet 309, 159–166 (2024). https://doi.org/10.1007/s00404-022-06861-1

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  • DOI: https://doi.org/10.1007/s00404-022-06861-1

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