Knowledge Resource Center for Ecological Environment in Arid Area
DOI | 10.1111/birt.12278 |
Does midwife experience affect the rate of severe perineal tears? | |
Mizrachi, Yossi1; Leytes, Sophia; Levy, Michal; Hiaev, Zvia; Ginath, Shimon; Bar, Jacob; Kovo, Michal | |
通讯作者 | Mizrachi, Yossi |
来源期刊 | BIRTH-ISSUES IN PERINATAL CARE
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ISSN | 0730-7659 |
EISSN | 1523-536X |
出版年 | 2017 |
卷号 | 44期号:2页码:161-166 |
英文摘要 | BackgroundOur aim was to study whether midwife experience affects the rate of severe perineal tears (3rd and 4th degree). MethodsA retrospective cohort study of all women with term vertex singleton pregnancies, who underwent normal vaginal deliveries, in a single tertiary hospital, between 2011 and 2015, was performed. Exclusion criteria were instrumental deliveries and stillbirth. All midwives used a hands on technique for protecting the perineum. The midwife experience at each delivery was calculated as the time interval between her first delivery and current delivery. A comparison was performed between deliveries in which midwife experience was less than 2years (inexperienced), between 2 and 10years (moderately experienced), and more than 10years (highly experienced). A multivariate regression analysis was performed to assess the association between midwife experience and the incidence of severe perineal tears, after controlling for confounders. ResultsOverall, 15146 deliveries were included. Severe perineal tears were diagnosed in 51 (0.33%) deliveries. Women delivered by inexperienced midwives had a higher rate of severe perineal tears compared with women delivered by highly experienced midwives (0.5% vs 0.2%, respectively, P=.024). On multivariate regression analysis, midwife experience was independently associated with a lower rate of severe perineal tears, after controlling for confounding factors. Each additional year of experience was associated with a 4.7% decrease in the risk of severe perineal tears (adjusted OR 0.95 [95% CI 0.91-0.99, P=.03). ConclusionMore experienced midwives had a lower rate of severe perineal tears, and may be preferred for managing deliveries of women at high risk for such tears. |
英文关键词 | midwives OASIS obstetric lacerations perineal tears |
类型 | Article |
语种 | 英语 |
国家 | Israel |
收录类别 | SCI-E ; SSCI |
WOS记录号 | WOS:000401524500009 |
WOS关键词 | ANAL-SPHINCTER INJURIES ; RISK-FACTORS ; LACERATIONS ; COHORT ; CHILDBIRTH ; 3RD-DEGREE ; POSTPARTUM ; MANAGEMENT ; DELIVERY ; SUPPORT |
WOS类目 | Nursing ; Obstetrics & Gynecology ; Pediatrics |
WOS研究方向 | Nursing ; Obstetrics & Gynecology ; Pediatrics |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/197898 |
作者单位 | 1.Edith Wolfson Med Ctr, Dept Obstet & Gynecol, 62 Halochamim St,POB 5, IL-58100 Holon, Israel; 2.Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel |
推荐引用方式 GB/T 7714 | Mizrachi, Yossi,Leytes, Sophia,Levy, Michal,et al. Does midwife experience affect the rate of severe perineal tears?[J],2017,44(2):161-166. |
APA | Mizrachi, Yossi.,Leytes, Sophia.,Levy, Michal.,Hiaev, Zvia.,Ginath, Shimon.,...&Kovo, Michal.(2017).Does midwife experience affect the rate of severe perineal tears?.BIRTH-ISSUES IN PERINATAL CARE,44(2),161-166. |
MLA | Mizrachi, Yossi,et al."Does midwife experience affect the rate of severe perineal tears?".BIRTH-ISSUES IN PERINATAL CARE 44.2(2017):161-166. |
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