INDIVIDULIZED LABOR MANAGEMENT STRATEGY FOR THE PREVENTION OF SOFT TISSUE BIRTH CANAL TRAUMA: A CLINICAL AND PROGNOSTIC ANALYSIS

Abstract

Obstetric trauma to the soft tissues of the birth canal remains a significant contributor to maternal morbidity worldwide, with perineal tears of moderate to severe degree (II–III) occurring in up to one-third of vaginal deliveries. Despite the availability of standardized obstetric protocols, the persistence of high trauma rates suggests limitations in the current “one-size-fits-all” approach to labor management. This study evaluates the clinical effectiveness of a personalized labor management strategy based on individual risk stratification, biomechanical assessment, and targeted intrapartum interventions. A prospective cohort study involving 180 pregnant women was conducted, comparing individualized care with standard obstetric management. The primary outcomes included incidence of perineal trauma, episiotomy rates, duration of the second stage of labor, and postpartum pain intensity. The implementation of a personalized strategy demonstrated a significant reduction in moderate-to-severe perineal tears, decreased episiotomy rates, and improved functional outcomes. These findings support the integration of individualized obstetric algorithms into clinical practice.