干旱区生态环境知识资源中心(Arid): INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?

Arid

DOI	10.20471/acc.2019.58.02.22
	INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?
	Kosec, Vesna 1; Djakovic, Ivka 1; Cukelj, Marijo 1; Ejubovic, Emina 2,3; Sumpor, Blazenka 1; Djakovic, Zeljko 4
通讯作者	Djakovic, Ivka
来源期刊	ACTA CLINICA CROATICA
ISSN	0353-9466
EISSN	1333-9451
出版年	2019
卷号	58 期号:2 页码:365-370
英文摘要	In the era of new molecular, epigenetic and proteomic discoveries, birth canal injuries seem like outdated discussion. A vast increase in the incidence of obstetric anal sphincter injuries (OASIS) has been recorded in the last two decades despite advantages in modern medicine and new obstetric methods. This increase might be attributed to the new classification of perineal injury but also to the new imaging methods, including endoanal sonography, which earlier identifies injuries that previously were considered to be occult and actually underwent unrecognized, and which should have been recognized immediately postpartum. OASIS are third and fourth degree perineal injuries that occur during delivery. The reported incidence of OASIS varies from 0.1% to 10.9%. It is well known that third and fourth degree perineal injuries occur more often in primiparae, and in cases of macrosomic newborn, dorsoposterior position of fetal head and shoulder dystocia. The protective role of episiotomy is controversial. Birth canal injury during delivery can happen to any parturient woman. It is important for obstetricians to have this in mind at every delivery. Repercussions of OASIS are serious and can persist for life. They include emotional, psychological, social, physical and sexual disturbances. Therefore, it is very important to recognize the risk factors, diagnose the injury on time and treat it properly by a multidisciplinary team. Accordingly, it can be concluded that the increased incidence of OASIS is a result of better recognition of the risk factors, reduced rates of unrecognized sphincter injuries, adoption of the new classification and better postpartum imagining methods for detection of occult injuries.
英文关键词	Birth injuries Perineum, injuries Anal canal, injuries Delivery, obstetric, adverse effects
类型	Review
语种	英语
国家	Croatia ; Bosnia & Herceg
开放获取类型	gold, Green Published
收录类别	SCI-E
WOS记录号	WOS:000484374500022
WOS关键词	ANAL-SPHINCTER INJURY ; SEVERE PERINEAL TEARS ; 4TH-DEGREE LACERATION RATES ; RISK-FACTORS ; FECAL INCONTINENCE ; VAGINAL BIRTH ; EPISIOTOMY ; 3RD-DEGREE ; MANAGEMENT ; LABOR
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/213835
作者单位	1.Sestre Milosrdnice Univ Hosp Ctr, Dept Gynecol & Obstet, Vinogradska C 29, HR-10000 Zagreb, Croatia; 2.Zenica Cantonal Hosp, Dept Gynecol & Obstet, Zenica, Bosnia & Herceg; 3.Sarajevo Sch Sci & Technol, Sarajevo Med Sch, Sarajevo, Bosnia & Herceg; 4.Zagreb Univ, Jordanovac Dept Thorac Surg, Hosp Ctr, Zagreb, Croatia
推荐引用方式 GB/T 7714	Kosec, Vesna,Djakovic, Ivka,Cukelj, Marijo,et al. INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?[J],2019,58(2):365-370.
APA	Kosec, Vesna,Djakovic, Ivka,Cukelj, Marijo,Ejubovic, Emina,Sumpor, Blazenka,&Djakovic, Zeljko.(2019).INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?.ACTA CLINICA CROATICA,58(2),365-370.
MLA	Kosec, Vesna,et al."INCREASED OASIS INCIDENCE - INDICATOR OF THE QUALITY OF OBSTETRIC CARE?".ACTA CLINICA CROATICA 58.2(2019):365-370.