{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T21:11:22Z","timestamp":1764969082862,"version":"3.46.0"},"reference-count":8,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The rate of perineal tears in Cameroonian primiparous women is reported to be up to 59.7%. The present study aimed to assess the relationship between perineal length and perineal tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a prospective study of primiparous women with singleton pregnancies of at least 36\n                      <jats:sup>+6<\/jats:sup>\n                      \u00a0weeks length. The admitting physician measured the length of the perineal body at the first stage of labor and this value was hidden from the delivery personnel until delivery occurred. The presence of perineal trauma and other delivery characteristics were recorded. Data were analyzed using univariate analyses and multiple logistic regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean perineal body length was 3.21\u00a0\u00b1\u00a00.75\u00a0cm (range 1.5\u20135.5\u00a0cm). 34 (33.0%) primiparous women sustained spontaneous perineal tears and 20 (19.4%) had episiotomies. No third\u2010 or fourth\u2010degree perineal tears were observed. Perineal body length shorter than 2.5\u00a0cm was a significant (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.04) predictor of spontaneous perineal lacerations (58.3% vs. 29.7% with relative risk 0.59). Both duration of second stage of labor longer than 60\u00a0min and occiput posterior presentation were associated with an increased risk of episiotomy in primiparous patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Perineal body length less than 2.5\u00a0cm significantly predisposed to spontaneous perineal lacerations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13580","type":"journal-article","created":{"date-parts":[[2021,1,7]],"date-time":"2021-01-07T10:33:30Z","timestamp":1610015610000},"page":"481-484","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perineal body length and prevention of perineal lacerations during delivery in cameroonian primigravid patients"],"prefix":"10.1002","volume":"154","author":[{"given":"V\u00e9ronique","family":"Mboua Batoum","sequence":"first","affiliation":[{"name":"Centre des Urgences de Yaound\u00e9 Yaound\u00e9 Cameroun"},{"name":"D\u00e9partement de gyn\u00e9cologie obst\u00e9trique. Facult\u00e9 de M\u00e9decine et des Sciences Biom\u00e9dicales Universit\u00e9 de Yaound\u00e9 I Yaound\u00e9 Cameroun"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Ngo Um Meka","sequence":"additional","affiliation":[{"name":"D\u00e9partement de gyn\u00e9cologie obst\u00e9trique. Facult\u00e9 de M\u00e9decine et des Sciences Biom\u00e9dicales Universit\u00e9 de Yaound\u00e9 I Yaound\u00e9 Cameroun"},{"name":"H\u00f4pital Gyn\u00e9co Obst\u00e9trique et p\u00e9diatrique de Yaound\u00e9 Yaound\u00e9 Cameroun"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e9lix","family":"Essiben","sequence":"additional","affiliation":[{"name":"D\u00e9partement de gyn\u00e9cologie obst\u00e9trique. Facult\u00e9 de M\u00e9decine et des Sciences Biom\u00e9dicales Universit\u00e9 de Yaound\u00e9 I Yaound\u00e9 Cameroun"},{"name":"H\u00f4pital Central de Yaound\u00e9 Yaound\u00e9 Cameroun"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mbu Enow","family":"Robinson","sequence":"additional","affiliation":[{"name":"D\u00e9partement de gyn\u00e9cologie obst\u00e9trique. Facult\u00e9 de M\u00e9decine et des Sciences Biom\u00e9dicales Universit\u00e9 de Yaound\u00e9 I Yaound\u00e9 Cameroun"},{"name":"H\u00f4pital Central de Yaound\u00e9 Yaound\u00e9 Cameroun"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,2,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-019-02732-5"},{"volume-title":"Mental Health Aspects of Women's Reproductive Health: A Global Review of the Literature","year":"2009","author":"World Health Organization & United Nations Population Fund","key":"e_1_2_7_3_1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/08998280.2017.11929564"},{"key":"e_1_2_7_5_1","unstructured":"Biholong.Les traumatismes obst\u00e9tricaux des parties molles du tractus g\u00e9nital maternel au centre hospitalier et universitaire de Yaound\u00e9: quelques aspects \u00e9pid\u00e9miologiques. Th\u00e8se de doctorat en m\u00e9decine (non publi\u00e9e) 2000\u20102001."},{"key":"e_1_2_7_6_1","first-page":"306Y310","article-title":"Perineal body length and laceration at delivery","volume":"49","author":"Deering SH","year":"2004","journal-title":"J Reprod Med"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010009\u20100959\u2010x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-2956-1"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e318255b096"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13580","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13580","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13580","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T21:06:40Z","timestamp":1764968800000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13580"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,2]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1002\/ijgo.13580"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13580","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2021,2,2]]},"assertion":[{"value":"2020-07-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-02-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}