{"id":"https://openalex.org/W2946953643","doi":"https://doi.org/10.18203/2320-1770.ijrcog20192467","title":"An unusual case of delivery with central rupture of perineum and intact introitus","display_name":"An unusual case of delivery with central rupture of perineum and intact introitus","publication_year":2019,"publication_date":"2019-05-28","ids":{"openalex":"https://openalex.org/W2946953643","doi":"https://doi.org/10.18203/2320-1770.ijrcog20192467","mag":"2946953643"},"language":"en","primary_location":{"id":"doi:10.18203/2320-1770.ijrcog20192467","doi":"https://doi.org/10.18203/2320-1770.ijrcog20192467","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2320-1770.ijrcog20192467","pdf_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/6507/4610","source":{"id":"https://openalex.org/S2764444635","display_name":"International Journal of Reproduction Contraception Obstetrics and Gynecology","issn_l":"2320-1770","issn":["2320-1770","2320-1789"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Reproduction, Contraception, Obstetrics and Gynecology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/6507/4610","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024696078","display_name":"Priyanka Mathe","orcid":"https://orcid.org/0000-0003-4697-9990","observed_orcids":["https://orcid.org/0000-0003-4697-9990"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Priyanka Mathe","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, ESIC medical college and hospital, Faridabad, Haryana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, ESIC medical college and hospital, Faridabad, Haryana, India","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5112438917","display_name":"Manisha Meena","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Manisha Meena","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, ESIC medical college and hospital, Faridabad, Haryana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, ESIC medical college and hospital, Faridabad, Haryana, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5007916102","display_name":"Rekha Bharti","orcid":"https://orcid.org/0000-0001-9737-8365","observed_orcids":["https://orcid.org/0000-0001-9737-8365"]},"institutions":[{"id":"https://openalex.org/I1312996466","display_name":"Safdarjang Hospital","ror":"https://ror.org/0267zkr58","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I1312996466"]},{"id":"https://openalex.org/I17972996","display_name":"Vardhman Mahavir Medical College & Safdarjung Hospital","ror":"https://ror.org/03zj0ps89","country_code":"IN","type":"healthcare","lineage":["https://openalex.org/I17972996"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rekha Bharti","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, Delhi, India","institution_ids":["https://openalex.org/I1312996466","https://openalex.org/I17972996"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"8","issue":"6","first_page":"2556","last_page":"2556"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.5590999722480774,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"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":0.5590999722480774,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"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":0.25440001487731934,"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":0.10209999978542328,"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":0.6039999723434448},{"id":"https://openalex.org/keywords/anal-sphincter-injury","display_name":"anal sphincter injury","score":0.7839999794960022},{"id":"https://openalex.org/keywords/obstetric-trauma","display_name":"obstetric trauma","score":0.6430000066757202},{"id":"https://openalex.org/keywords/vaginal-delivery","display_name":"vaginal delivery","score":0.492000013589859},{"id":"https://openalex.org/keywords/primigravida","display_name":"primigravida","score":0.7329999804496765},{"id":"https://openalex.org/keywords/blood-transfusion","display_name":"blood transfusion","score":0.6980000138282776},{"id":"https://openalex.org/keywords/institutional-delivery","display_name":"institutional delivery","score":0.7549999952316284},{"id":"https://openalex.org/keywords/prenatal-care","display_name":"prenatal care","score":0.7279999852180481}],"concepts":[{"id":"https://openalex.org/C83674893","wikidata":"https://www.wikidata.org/wiki/Q7583620","display_name":"Introitus","level":3,"score":0.986952543258667},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9274603724479675},{"id":"https://openalex.org/C2781163205","wikidata":"https://www.wikidata.org/wiki/Q105499","display_name":"Perineum","level":2,"score":0.8004990816116333},{"id":"https://openalex.org/C2779703513","wikidata":"https://www.wikidata.org/wiki/Q34581","display_name":"Childbirth","level":3,"score":0.5498561263084412},{"id":"https://openalex.org/C2778408130","wikidata":"https://www.wikidata.org/wiki/Q6679974","display_name":"Vaginal delivery","level":3,"score":0.5473839640617371},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.49981188774108887},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4603992998600006},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.4477533996105194},{"id":"https://openalex.org/C2777744392","wikidata":"https://www.wikidata.org/wiki/Q5880","display_name":"Vagina","level":2,"score":0.3556433320045471},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.34422340989112854},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.3102964758872986},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.18203/2320-1770.ijrcog20192467","doi":"https://doi.org/10.18203/2320-1770.ijrcog20192467","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2320-1770.ijrcog20192467","pdf_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/6507/4610","source":{"id":"https://openalex.org/S2764444635","display_name":"International Journal of Reproduction Contraception Obstetrics and Gynecology","issn_l":"2320-1770","issn":["2320-1770","2320-1789"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Reproduction, Contraception, Obstetrics and Gynecology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.18203/2320-1770.ijrcog20192467","doi":"https://doi.org/10.18203/2320-1770.ijrcog20192467","is_oa":true,"landing_page_url":"https://doi.org/10.18203/2320-1770.ijrcog20192467","pdf_url":"https://www.ijrcog.org/index.php/ijrcog/article/download/6507/4610","source":{"id":"https://openalex.org/S2764444635","display_name":"International Journal of Reproduction Contraception Obstetrics and Gynecology","issn_l":"2320-1770","issn":["2320-1770","2320-1789"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4322697004","host_organization_name":"Medip Academy","host_organization_lineage":["https://openalex.org/P4322697004"],"host_organization_lineage_names":["Medip Academy"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Reproduction, Contraception, Obstetrics and Gynecology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2946953643.pdf","grobid_xml":"https://content.openalex.org/works/W2946953643.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W89250177","https://openalex.org/W2023315209","https://openalex.org/W2030071535","https://openalex.org/W2065306231","https://openalex.org/W2499063280","https://openalex.org/W2617166123"],"related_works":["https://openalex.org/W7204234846","https://openalex.org/W2973677764","https://openalex.org/W51247595","https://openalex.org/W2436232156","https://openalex.org/W2395467772","https://openalex.org/W4387754545","https://openalex.org/W2075074694","https://openalex.org/W4238553767","https://openalex.org/W2417929978","https://openalex.org/W4253594462"],"abstract_inverted_index":{"Most":[0],"women":[1],"experience":[2],"some":[3,11],"degree":[4],"of":[5,20,28,42,61,86,107,112,130,139],"tear":[6],"during":[7],"childbirth":[8],"and":[9,46,56,68,80,90,110,124,133,154],"in":[10,44,99],"these":[12],"can":[13],"be":[14],"extensive.":[15],"Obstetrics":[16],"injuries":[17,114],"contribute":[18],"0.5-15%":[19],"vaginal":[21],"deliveries.":[22],"Here":[23],"authors":[24,103],"present":[25,128],"a":[26,145],"case":[27],"23-year-old":[29],"primigravida":[30],"who":[31],"presented":[32],"at":[33],"Safdarjung":[34],"hospital":[35],"New":[36],"Delhi,":[37,38],"India":[39],"with":[40],"complaint":[41],"pain":[43],"perineum":[45,62],"excessive":[47],"bleeding":[48],"per":[49],"vaginum.":[50],"On":[51],"examination,":[52],"introitus":[53],"was":[54,58,73,93],"intact":[55],"there":[57],"central":[59],"rupture":[60],"which":[63,115,142],"involved":[64],"anal":[65],"sphincter":[66],"proximally":[67],"rectal":[69],"mucosa":[70],"distally.":[71],"Patient":[72,92],"shifted":[74],"to":[75,148],"operation":[76],"theatre":[77],"for":[78,121,151],"exploration":[79],"repair.":[81],"She":[82],"received":[83],"2":[84],"units":[85],"blood":[87],"transfusion,":[88],"antibiotics":[89],"laxatives.":[91],"discharged":[94],"on":[95],"post-operative":[96],"day":[97],"5":[98],"satisfactory":[100],"condition.":[101],"Thus,":[102],"emphasise":[104],"the":[105,119],"need":[106,120],"institutional":[108],"delivery":[109],"prevention":[111],"perineal":[113],"would":[116],"further":[117],"obviate":[118],"surgical":[122],"repair":[123],"associated":[125],"morbidity.":[126],"In":[127],"era":[129],"easy":[131],"communication":[132],"transport":[134],"we":[135],"still":[136],"receive":[137],"cases":[138],"unsupervised":[140],"deliveries":[141],"gives":[143],"us":[144],"strong":[146],"motive":[147],"spread":[149],"awareness":[150],"antenatal":[152],"visits":[153],"care":[155],"among":[156],"this":[157],"population.":[158]},"counts_by_year":[],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2019-06-07T00:00:00"}