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DOI10.1016/j.ijgo.2015.07.015
A case-control study of the relationship between a passive second stage of labor and obstetric anal sphincter injuries
Gossett, Dana R.1; Deibel, Philip2; Lewicky-Gaupp, Christina3
通讯作者Gossett, Dana R.
来源期刊INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN0020-7292
EISSN1879-3479
出版年2016
卷号132期号:2页码:188-190
英文摘要

Objective: To estimate the relationship between a passive second stage of labor and obstetric anal sphincter injuries (OASIS). Methods: A retrospective, case control study was undertaken of women who delivered at a tertiary-care center in Chicago, IL, USA, between November 2005 and December 2012. Cases had sustained OASIS and were matched on the basis of parity with controls who had no OASIS. Data were obtained from an electronic repository and chart review. Participants with a passive second stage of labor lasting 60 minutes or more were deemed to have "labored down." A logistic regression model to predict OASIS was created. Results: Overall, 1629 cases were compared with 1312 controls. OASIS were recorded among 1452 (57.8%) of 2510 women who did not labor down compared with 169 (40.0%) of 423 women who labored down (P < 0.001). However, in binary logistic regression, the addition of laboring down to the model only increased the predictive accuracy from 80.1% to 80.7%. Conclusion: When known risk factors for OASIS are accounted for, the effect of laboring down on perineal outcome is negligible. (C) 2015 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.


英文关键词Labor down Labor management Obstetric anal sphincter injury Obstetric trauma Perineal laceration Second stage of labor
类型Article
语种英语
国家USA
收录类别SCI-E
WOS记录号WOS:000370897900012
WOS关键词RISK-FACTORS ; VAGINAL DELIVERY ; CONTROLLED-TRIAL ; PERINEAL ; MULTICENTER ; EPISIOTOMY ; RUPTURE ; TEARS
WOS类目Obstetrics & Gynecology
WOS研究方向Obstetrics & Gynecology
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/193750
作者单位1.Northwestern Univ, Feinberg Sch Med, Div Gen Obstet & Gynecol, Chicago, IL 60611 USA;
2.Atrium ObGyn, Raleigh, NC USA;
3.Northwestern Univ, Feinberg Sch Med, Div Female Pelv Med & Reconstruct Surg, Chicago, IL 60611 USA
推荐引用方式
GB/T 7714
Gossett, Dana R.,Deibel, Philip,Lewicky-Gaupp, Christina. A case-control study of the relationship between a passive second stage of labor and obstetric anal sphincter injuries[J],2016,132(2):188-190.
APA Gossett, Dana R.,Deibel, Philip,&Lewicky-Gaupp, Christina.(2016).A case-control study of the relationship between a passive second stage of labor and obstetric anal sphincter injuries.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS,132(2),188-190.
MLA Gossett, Dana R.,et al."A case-control study of the relationship between a passive second stage of labor and obstetric anal sphincter injuries".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 132.2(2016):188-190.
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