E-Posters-Postpartum Referral Patterns to Urogynecology after Third and Fourth Degree Obstetric Lacerations in Primigravid Women

Postpartum Referral Patterns to Urogynecology after Third and Fourth Degree Obstetric Lacerations in Primigravid Women - Amanda Merriman, MD, MPH

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This document is a summary of a study conducted to analyze the referral patterns of primigravid women with higher degree perineal lacerations after delivery, specifically focusing on their referral to Urogynecology. The study was conducted at a single institution over a period of 4 years.<br /><br />The study found that only a small percentage of women with higher degree perineal lacerations were referred to Urogynecology. Out of the total number of women included in the study, 5.5% were referred to Urogynecology after delivery. Additionally, 16% of women were referred to Pelvic Floor Physical Therapy.<br /><br />The characteristics of the women referred to Urogynecology were also analyzed. The mean age of these women was 27.6 years, and the majority (73%) had an operative vaginal delivery. Two women (18%) had a fourth degree perineal laceration, and most (73%) received antepartum care from certified nurse midwives.<br /><br />The study concluded that referral to Urogynecology after higher degree perineal lacerations appears to be underutilized, as only a small percentage of women were referred. Furthermore, there was no discernible pattern in patient characteristics that led to referral. The researchers recommend larger, more comprehensive studies that include detailed Urogynecology follow-up data to further investigate referral patterns.<br /><br />In conclusion, the study highlights the need for better utilization of Urogynecology resources for women with higher degree perineal lacerations. Further research is necessary to determine the reasons behind the low referral rates and to improve the referral process.

Keywords

referral patterns

higher degree perineal lacerations

Urogynecology

Pelvic Floor Physical Therapy

operative vaginal delivery

certified nurse midwives

underutilized referral

patient characteristics

utilization of Urogynecology resources

improve referral process