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DOI | 10.1016/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
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ISSN | 0020-7292 |
EISSN | 1879-3479 |
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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