干旱区生态环境知识资源中心(Arid): Factors associated with obstetric anal sphincter injuries during vacuum delivery among Chinese women

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DOI	10.1002/ijgo.12813
	Factors associated with obstetric anal sphincter injuries during vacuum delivery among Chinese women
	Chen, Sue-Jar 1,2; Chen, Chie-Pein 1,2; Sun, Fang-Ju 3; Chen, Chen-Yu 1,2
通讯作者	Chen, Chen-Yu
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2019
卷号	145 期号:3 页码:354-360
英文摘要	Objective: To investigate factors associated with obstetric anal sphincter injuries (OASIS) during vacuum delivery among Chinese women. Methods: A retrospective cohort study of Chinese women who underwent vacuum-assisted vaginal delivery at a tertiary referral hospital in Taiwan between January 2010 and December 2016. Logistic regression analysis was used to compare various factors (maternal, delivery, and neonatal factors) between women with and those without OASIS. Results: Among 18 744 Chinese women with singleton vaginal delivery, 3141 (16.76%) had vacuum assistance and 2634 (83.86%) were primiparous. Of the women who had a vacuum delivery, 1073 (34.16%) sustained OASIS, of whom 967 (90.12%) were primiparous. The major independent risk factors for OASIS were primiparity (adjusted odds ratio [aOR], 2.93; 95% confidence interval [CI], 2.29-3.76) and use of midline episiotomy (aOR, 3.01; 95% CI, 1.74-5.17). However, epidural analgesia had a protective effect (aOR, 0.64; 95% CI, 0.54-0.75) against OASIS. In multivariate analysis for the primiparous subgroup, the independent significant risk factors for OASIS remained the same. Conclusion: A high incidence of OASIS during vacuum delivery was observed among Chinese women. Midline episiotomy was found to be a modifiable risk factor for OASIS, whereas epidural analgesia had a protective effect.
英文关键词	Chinese women Epidural analgesia Episiotomy OASIS Obstetric anal sphincter injuries Primiparous Vacuum delivery
类型	Article
语种	英语
国家	Taiwan
收录类别	SCI-E
WOS记录号	WOS:000471752700015
WOS关键词	PERINEAL LACERATIONS ; VAGINAL DELIVERY ; RISK-FACTORS ; EPISIOTOMY
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/2XILL650/216454
作者单位	1.Mackay Med Coll, Dept Med, New Taipei, Taiwan; 2.Mackay Mem Hosp, Dept Obstet & Gynecol, Taipei, Taiwan; 3.Mackay Mem Hosp, Dept Med Res, Taipei, Taiwan
推荐引用方式 GB/T 7714	Chen, Sue-Jar,Chen, Chie-Pein,Sun, Fang-Ju,et al. Factors associated with obstetric anal sphincter injuries during vacuum delivery among Chinese women[J],2019,145(3):354-360.
APA	Chen, Sue-Jar,Chen, Chie-Pein,Sun, Fang-Ju,&Chen, Chen-Yu.(2019).Factors associated with obstetric anal sphincter injuries during vacuum delivery among Chinese women.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS,145(3),354-360.
MLA	Chen, Sue-Jar,et al."Factors associated with obstetric anal sphincter injuries during vacuum delivery among Chinese women".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 145.3(2019):354-360.