{"id":"https://openalex.org/W1966779478","doi":"https://doi.org/10.1080/14767050600921307","title":"Is severe perineal damage increased in women with prior anal sphincter injury?","display_name":"Is severe perineal damage increased in women with prior anal sphincter injury?","publication_year":2006,"publication_date":"2006-01-01","ids":{"openalex":"https://openalex.org/W1966779478","doi":"https://doi.org/10.1080/14767050600921307","mag":"1966779478","pmid":"https://pubmed.ncbi.nlm.nih.gov/17127495"},"language":"en","primary_location":{"id":"doi:10.1080/14767050600921307","doi":"https://doi.org/10.1080/14767050600921307","is_oa":false,"landing_page_url":"https://doi.org/10.1080/14767050600921307","pdf_url":null,"source":{"id":"https://openalex.org/S1605907","display_name":"The Journal of Maternal-Fetal & Neonatal Medicine","issn_l":"1476-4954","issn":["1476-4954","1476-7058"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320449","host_organization_name":"Informa","host_organization_lineage":["https://openalex.org/P4310320449"],"host_organization_lineage_names":["Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Maternal-Fetal &amp; Neonatal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055314300","display_name":"Heather E. Edwards","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210117083","display_name":"Temple University Hospital","ror":"https://ror.org/028rvnd71","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210117083","https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Heather Edwards","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA 19140, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA 19140, USA","institution_ids":["https://openalex.org/I4210117083"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061597708","display_name":"Chad A. Grotegut","orcid":"https://orcid.org/0000-0002-3511-7642","observed_orcids":["https://orcid.org/0000-0002-3511-7642"]},"institutions":[{"id":"https://openalex.org/I4210117083","display_name":"Temple University Hospital","ror":"https://ror.org/028rvnd71","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210117083","https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chad Grotegut","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I4210117083"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111461230","display_name":"\u00d6zg\u00fcr H. Harmanli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1338449461","display_name":"Baystate Medical Center","ror":"https://ror.org/01q2nz307","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1338449461"]},{"id":"https://openalex.org/I4210123955","display_name":"Baystate Health","ror":"https://ror.org/02x011m46","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210123955"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ozgur H. Harmanli","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Division of Urogynecology, Baystate Medical Center, Springfield, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Division of Urogynecology, Baystate Medical Center, Springfield, MA, USA","institution_ids":["https://openalex.org/I1338449461","https://openalex.org/I4210123955"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065201638","display_name":"David A. Rapkin","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David Rapkin","raw_affiliation_strings":["Obstetrics and Gynecology, Magee Women's Hospital, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Obstetrics and Gynecology, Magee Women's Hospital, Philadelphia, PA, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5047804944","display_name":"Vani Dandolu","orcid":"https://orcid.org/0000-0001-7391-8080","observed_orcids":["https://orcid.org/0000-0001-7391-8080","https://orcid.org/0009-0001-3271-1128"]},"institutions":[{"id":"https://openalex.org/I4210117083","display_name":"Temple University Hospital","ror":"https://ror.org/028rvnd71","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210117083","https://openalex.org/I4210122924"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Vani Dandolu","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA, USA","institution_ids":["https://openalex.org/I4210117083"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5047804944"],"corresponding_institution_ids":["https://openalex.org/I4210117083"],"apc_list":null,"apc_paid":null,"fwci":0.4373,"has_fulltext":false,"cited_by_count":36,"citation_normalized_percentile":{"value":0.66692737,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"19","issue":"11","first_page":"723","last_page":"727"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.004900000058114529,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11389","display_name":"Maternal and fetal healthcare","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/perineal-trauma","display_name":"perineal trauma","score":0.828000009059906},{"id":"https://openalex.org/keywords/episiotomy","display_name":"episiotomy","score":0.7960000038146973},{"id":"https://openalex.org/keywords/instrumental-delivery","display_name":"instrumental delivery","score":0.847000002861023},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.7239999771118164},{"id":"https://openalex.org/keywords/maternal-obesity","display_name":"maternal obesity","score":0.6729999780654907},{"id":"https://openalex.org/keywords/fetal-weight","display_name":"fetal weight","score":0.699999988079071}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9230320453643799},{"id":"https://openalex.org/C2777362633","wikidata":"https://www.wikidata.org/wiki/Q1137446","display_name":"Episiotomy","level":3,"score":0.8039801716804504},{"id":"https://openalex.org/C2993285706","wikidata":"https://www.wikidata.org/wiki/Q4751007","display_name":"Anal sphincter","level":2,"score":0.7483855485916138},{"id":"https://openalex.org/C2776914593","wikidata":"https://www.wikidata.org/wiki/Q1378235","display_name":"Forceps","level":2,"score":0.6658687591552734},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.5992341637611389},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5958049297332764},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5145930051803589},{"id":"https://openalex.org/C2780877482","wikidata":"https://www.wikidata.org/wiki/Q746416","display_name":"Sphincter","level":2,"score":0.5089528560638428},{"id":"https://openalex.org/C2778408130","wikidata":"https://www.wikidata.org/wiki/Q6679974","display_name":"Vaginal delivery","level":3,"score":0.5025367736816406},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5017263889312744},{"id":"https://openalex.org/C2781163205","wikidata":"https://www.wikidata.org/wiki/Q105499","display_name":"Perineum","level":2,"score":0.48711633682250977},{"id":"https://openalex.org/C66322754","wikidata":"https://www.wikidata.org/wiki/Q4128476","display_name":"Birth weight","level":3,"score":0.47084328532218933},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.46417590975761414},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.4179506301879883},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.3914772868156433},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001003","descriptor_name":"Anal Canal","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010502","descriptor_name":"Perineum","qualifier_ui":"Q000293","qualifier_name":"injuries","is_major_topic":true},{"descriptor_ui":"D011247","descriptor_name":"Pregnancy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012720","descriptor_name":"Severity of Illness Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1080/14767050600921307","doi":"https://doi.org/10.1080/14767050600921307","is_oa":false,"landing_page_url":"https://doi.org/10.1080/14767050600921307","pdf_url":null,"source":{"id":"https://openalex.org/S1605907","display_name":"The Journal of Maternal-Fetal & Neonatal Medicine","issn_l":"1476-4954","issn":["1476-4954","1476-7058"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320449","host_organization_name":"Informa","host_organization_lineage":["https://openalex.org/P4310320449"],"host_organization_lineage_names":["Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Maternal-Fetal &amp; Neonatal Medicine","raw_type":"journal-article"},{"id":"pmid:17127495","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/17127495","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":17,"referenced_works":["https://openalex.org/W1566736978","https://openalex.org/W1986929271","https://openalex.org/W1988497509","https://openalex.org/W1997518181","https://openalex.org/W2005944000","https://openalex.org/W2009831907","https://openalex.org/W2038089356","https://openalex.org/W2056800094","https://openalex.org/W2056969912","https://openalex.org/W2059315591","https://openalex.org/W2063953623","https://openalex.org/W2069011964","https://openalex.org/W2081434828","https://openalex.org/W2112720109","https://openalex.org/W2435966104","https://openalex.org/W4231606411","https://openalex.org/W4249380404"],"related_works":["https://openalex.org/W2069011964","https://openalex.org/W2005944000","https://openalex.org/W1977465808","https://openalex.org/W2004967908","https://openalex.org/W4280636729","https://openalex.org/W2081434828","https://openalex.org/W4230295605","https://openalex.org/W2314205512","https://openalex.org/W2038524567","https://openalex.org/W2281389683"],"abstract_inverted_index":{"OBJECTIVE:":[0],"There":[1,135],"is":[2,279],"conflicting":[3],"data":[4],"in":[5,16,72,158,267],"the":[6,9,29,61,80,164,201],"literature":[7],"regarding":[8],"risk":[10,30,281],"of":[11,31,33,75,107,118,127,131,166,179,185,193,203,271],"obstetric":[12,34],"anal":[13,35,42,180,261],"sphincter":[14,36,43,154,170,181,262],"laceration":[15,44,155,263],"patients":[17,76,167,176],"with":[18,90,168,277],"a":[19,48,280],"prior":[20,169],"laceration.":[21,133,288],"This":[22],"retrospective":[23],"chart":[24],"review":[25,83],"seeks":[26],"to":[27,55,93,247],"examine":[28],"recurrence":[32,178],"lacerations.":[37,190],"METHODS:":[38],"Patients":[39],"who":[40,220],"sustained":[41,221],"at":[45,65,121,141],"delivery":[46,122,275],"during":[47],"13-year":[49],"time":[50],"period":[51],"from":[52,60,79,200],"January":[53,146],"1991":[54,148],"December":[56,150],"2003":[57],"were":[58,77,136,187,224,244],"identified":[59],"medical":[62],"records":[63],"database":[64],"Temple":[66,142],"University":[67,143],"Hospital.":[68],"All":[69],"subsequent":[70,88],"deliveries":[71,89,140,162,255],"this":[73],"group":[74,165],"extracted":[78],"database.":[81],"Chart":[82],"was":[84,156,196],"performed":[85],"on":[86],"all":[87],"specific":[91],"attention":[92],"demographic":[94],"factors":[95],"such":[96,113],"as":[97,114],"age,":[98],"race,":[99],"parity,":[100],"etc.,":[101],"maternal":[102,108],"weight,":[103,105],"fetal":[104],"presence":[106],"diabetes,":[109],"and":[110,129,149,183,243,286],"labor":[111],"characteristics":[112],"induction":[115],"or":[116,124,253],"augmentation":[117],"labor,":[119],"instrumentation":[120],"(vacuum":[123],"forceps),":[125],"use":[126],"episiotomy,":[128],"degree":[130,189],"perineal":[132],"RESULTS:":[134],"23":[137],"451":[138],"vaginal":[139,274],"Hospital":[144],"between":[145],"1,":[147],"31,":[151],"2003.":[152],"Anal":[153],"noted":[157],"778":[159],"subjects.":[160],"Subsequent":[161],"among":[163],"tears":[171],"numbered":[172],"271.":[173],"Six":[174],"(2.4%)":[175],"had":[177,235],"lacerations,":[182],"five":[184],"them":[186],"third":[188],"The":[191],"rate":[192,202,270],"recurrent":[194,222,287],"lacerations":[195,205,223],"not":[197,265],"significantly":[198],"different":[199],"initial":[204,285],"(2.4%":[206],"vs.":[207,232,240,251,257],"3.3%;":[208],"odds":[209],"ratio":[210],"0.72,":[211],"95%":[212],"confidence":[213],"interval":[214],"0.33-1.59;":[215],"p":[216],"=":[217],"0.4).":[218],"Women":[219],"older,":[225],"more":[226,245],"obese":[227],"(mean":[228],"weight":[229],"92":[230],"kg":[231],"82":[233],"kg),":[234],"larger":[236],"babies":[237],"(3506":[238],"g":[239],"3227":[241],"g),":[242],"likely":[246],"have":[248],"episiotomies":[249],"(66.7%":[250],"7%)":[252],"instrumental":[254],"(33.3":[256],"6.5%).":[258],"CONCLUSION:":[259],"Prior":[260],"does":[264],"result":[266],"an":[268],"increased":[269],"recurrence.":[272],"Operative":[273],"particularly":[276],"episiotomy":[278],"factor":[282],"for":[283],"both":[284]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":3},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":5},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
