Incidence of vaginal birth–related rupture of the pubic symphysis: A nationwide register study in Finland from 1998 to 2018

Research output: Contribution to journalLetterScientific

Abstract

Background and purpose: To assess the incidence of vaginal birth -related rupture of the pubic symphysis in Finland from 1998 to 2018. Methods: A retrospective cohort study using nationwide data from the Finnish Care Register for Health Care and the Finnish Medical Birth Register. As participants we included all ≥ 22-week pregnancies of women aged between 15 and 49 years from January 1, 1998 to December 31, 2017. Pubic symphysis rupture was classified based on the ICD-10 code S33.4 and operations were gathered with pelvis-specific operation codes of the Nordic NOMESCO-classification. Incidence per 100 000 deliveries with 95% confidence intervals (CI) was calculated for symphysis rupture and surgery using Poisson’s exact test. Results: For a total 1 175 326 deliveries, a total of 9 pubic symphysis ruptures occurred during the intrapartum and puerperal periods. All ruptures occurred after vaginal delivery. Of these, 4 ruptures were treated operatively. The incidence of rupture for vaginal delivery was 0.9 per 100 000 deliveries (CI 0.1 to 1.0). No perinatal mortality was observed. Conclusions: Birth -related ruptures of the pubic symphysis are rate events and are mostly associated with vaginal delivery with most ruptures being treated conservatively.

Original languageEnglish
Number of pages3
JournalScandinavian Journal of Surgery
Volume111
Issue number2
DOIs
Publication statusPublished - 2022
Publication typeB1 Journal article

Keywords

  • delivery
  • epidemiology
  • Pregnancy
  • rupture
  • symphysis

ASJC Scopus subject areas

  • Surgery

Fingerprint

Dive into the research topics of 'Incidence of vaginal birth–related rupture of the pubic symphysis: A nationwide register study in Finland from 1998 to 2018'. Together they form a unique fingerprint.

Cite this