干旱区生态环境知识资源中心(Arid): Do women with prior obstetrical anal sphincter injury regret having a subsequent vaginal delivery?

Arid

DOI	10.1186/s12884-019-2380-x
	Do women with prior obstetrical anal sphincter injury regret having a subsequent vaginal delivery?
	Edwards, Madeline; Kobernik, Emily K.; Suresh, Shriya; Swenson, Carolyn W.
通讯作者	Swenson, Carolyn W.
来源期刊	BMC PREGNANCY AND CHILDBIRTH
ISSN	1471-2393
出版年	2019
卷号	19
英文摘要	BackgroundMost women choose to have another vaginal delivery following one complicated by an obstetrical anal sphincter injury (OASIS). However, little is known about patient satisfaction or regret with this decision. Therefore, our objective was to assess decisional regret with subsequent route of delivery following one affected by an OASIS.MethodsA survey study was conducted among women seen in a specialty postpartum perineal clinic at a tertiary teaching hospital following a vaginal delivery with an OASIS between March 2012 and December 2016 who also had a subsequent delivery during that time period. Women were mailed a 13-item questionnaire between June and October 2017 that addressed pelvic floor symptoms and regret with their decision regarding mode of subsequent delivery. Regret was assessed with a modified Decision Regret Scale. Bivariate analyses were used to compare women with no, mild, or moderate/severe regret.ResultsAmong 115 eligible women, 50 completed the survey. The majority (82%, n=41) had a subsequent vaginal delivery and 18% (n=9) had a subsequent cesarean delivery. Over one-third (34.9%, n=15) reported the counseling they received after the OASIS influenced their decision regarding route of subsequent delivery. Fifty-four percent (n=27) had no regret regarding their decision about subsequent delivery route, while 18 (36%) had mild, and five (10%) had moderate/severe regret. Regret was associated with older age (none: 36.83.6 vs mild: 37.3 +/- 3.4 vs moderate/severe: 41.7 +/- 3.8years, p=.03) and prevalence of fecal incontinence after delivery with OASIS (none: 15% vs mild: 17% vs moderate/severe: 80%, p=.01).Conclusions Most women with an OASIS and a subsequent pregnancy will choose a repeat vaginal delivery, and over half have no regret about this decision. Older age and fecal incontinence following the incident delivery with OASIS were associated with regret regarding subsequent delivery mode.
英文关键词	Obstetrical anal sphincter laceration Third-degree perineal laceration Fourth-degree perineal laceration Regret Satisfaction Vaginal delivery
类型	Article
语种	英语
国家	USA
开放获取类型	gold, Green Published
收录类别	SCI-E
WOS记录号	WOS:000474372000001
WOS关键词	SHARED DECISION-MAKING ; INCONTINENCE
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/2XILL650/214707
作者单位	Univ Michigan, Dept Obstet & Gynecol, 1500 E Med Ctr Dr, Ann Arbor, MI 48109 USA
推荐引用方式 GB/T 7714	Edwards, Madeline,Kobernik, Emily K.,Suresh, Shriya,et al. Do women with prior obstetrical anal sphincter injury regret having a subsequent vaginal delivery?[J],2019,19.
APA	Edwards, Madeline,Kobernik, Emily K.,Suresh, Shriya,&Swenson, Carolyn W..(2019).Do women with prior obstetrical anal sphincter injury regret having a subsequent vaginal delivery?.BMC PREGNANCY AND CHILDBIRTH,19.
MLA	Edwards, Madeline,et al."Do women with prior obstetrical anal sphincter injury regret having a subsequent vaginal delivery?".BMC PREGNANCY AND CHILDBIRTH 19(2019).