title: Evaluation of risk factors in women with puerperal genital hematomas.
abstract: OBJECTIVE
  Our aim was to assess the incidence and risk factors of the puerperal genital hematomas (PGH).
  
  
  METHODS
  We retrospectively reviewed recorded cases of PGH at Zekai Tahir Burak Research and Training Hospital, Ankara, Turkey, between January 2010 and 2014. Next three patients were chosen as control group.
  
  
  RESULTS
  There were 47 cases of PGH with an incidence of 1 in 762 deliveries. Patients with PGH were younger, more likely to be nulliparous and had a greater weight gain during pregnancy than the control group. Patients with PGH had a longer first and second stage of labor than the control group. Mediolateral episiotomy and operative delivery were more frequently performed in patients with PGH than the control group. Neonates born to mothers with PGH were heavier than the control group (3525 ± 428 versus 3325 ± 579; p = 0.031). In the logistic regression model, nulliparity (OR: 8.68, 95% CI = 2.96-25.3), instrumental delivery (OR: 7.96, 95% CI = 1.37-49.0) and mediolateral episiotomy (OR: 6.67, 95% CI = 2.61-17.1) were factors which had an independent impact on risk of PGH.
  
  
  CONCLUSIONS
  Nulliparity, instrumental delivery and mediolateral episiotomy are the main risk factors for hematomas.
authors.affiliation: a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.
authors.forename: Cantekin
authors.initials: C
authors.lastname: İskender
authors.affiliation: a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.
authors.forename: Hasan Onur
authors.initials: HO
authors.lastname: Topçu
authors.affiliation: a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Timur
authors.affiliation: a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.
authors.forename: Aslı
authors.initials: A
authors.lastname: Oskovi
authors.affiliation: a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.
authors.forename: Gonca
authors.initials: G
authors.lastname: Göksu
authors.affiliation: a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.
authors.forename: Ayhan
authors.initials: A
authors.lastname: Sucak
authors.affiliation: a Department of Perinatology , Zekai Tahir Burak Research and Training Hospital , Ankara , Turkey.
authors.forename: Nuri
authors.initials: N
authors.lastname: Danışman
mesh_terms: D000328:Adult; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology*; D006406:Hematoma / Q000453:epidemiology*; D006801:Humans; D011644:Puerperal Disorders / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult
keywords: Delivery; postpartum; vaginal hematomas; vulvar hematomas