干旱区生态环境知识资源中心(Arid): Predictors of patient preference for mode of delivery following an obstetric anal sphincter injury

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DOI	10.1016/j.ejogrb.2019.05.041
	Predictors of patient preference for mode of delivery following an obstetric anal sphincter injury
	Cole, Jennifer; Bulchandani, Supriya
通讯作者	Cole, Jennifer
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2019
卷号	239 页码:35-38
英文摘要	Objectives: Patients who sustain an Obstetric Anal Sphincter Injury (OASI) have the opportunity to select an elective caesarean section over a vaginal delivery in subsequent pregnancies. It remains unclear whether there are identifiable factors which predict expectant mothers' choices. The primary aim of our study was to explore this issue further in a consecutive group of patients who had suffered OASI. Study design: Data were retrospectively collected for patients attending a specialist OASIS clinic between July 2016 and February 2018. Information routinely collected in clinical practice was considered including mode of previous delivery, severity of OASI, combined with anal incontinence symptoms and endoanal ultrasound results. Logistic regression analysis was used to explore the relationship between these variables and the preferred mode of delivery. Results: A total of 188 patients were identified of whom 153 had complete data for analysis. Approximately 30% (n = 45) of patients preferred to have a caesarean section in their subsequent pregnancy. Bivariate analysis revealed significant associations between choosing a caesarean section in subsequent pregnancy and individuals with major tears (p = 0.001), high anal incontinence scores (p = 0.001) and defects on endoanal ultrasound (p < 0.001). Logistic regression analysis showed statistically significant associations between Caucasian ethnicity (Odds ratio (OR) 12.6, 95% CI 2.4-69.9) and endoanal ultrasound results (OR 2.3, 95% CI 1.7-3.2) with preference for caesarean section. Conclusion: Our data suggests that emphasis is placed by patients on endoanal ultrasound results when making their decision about mode of delivery in a subsequent pregnancy, suggesting a useful application of this tool. Ethnicity is a strong predictor of choice of delivery after OASI and may be potentially useful in forecasting maternity unit services. Crown Copyright (C) 2019 Published by Elsevier B.V. All rights reserved.
英文关键词	Obstetric anal sphincter injury Mode of delivery Endoanal ultrasound
类型	Article
语种	英语
国家	England
收录类别	SCI-E
WOS记录号	WOS:000474675400007
WOS关键词	CESAREAN-SECTION ; VAGINAL BIRTH ; PRIMARY REPAIR ; INCONTINENCE ; MANAGEMENT ; OASIS
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/215587
作者单位	Univ Hosp Coventry, Clifford Bridge Rd, Coventry, W Midlands, England
推荐引用方式 GB/T 7714	Cole, Jennifer,Bulchandani, Supriya. Predictors of patient preference for mode of delivery following an obstetric anal sphincter injury[J],2019,239:35-38.
APA	Cole, Jennifer,&Bulchandani, Supriya.(2019).Predictors of patient preference for mode of delivery following an obstetric anal sphincter injury.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,239,35-38.
MLA	Cole, Jennifer,et al."Predictors of patient preference for mode of delivery following an obstetric anal sphincter injury".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 239(2019):35-38.