干旱区生态环境知识资源中心(Arid): Prospective comparison of obstetric anal sphincter injury incidence between an Asian and Western hospital

Arid

DOI	10.1007/s00192-018-3649-8
	Prospective comparison of obstetric anal sphincter injury incidence between an Asian and Western hospital
	Bates, Lucy J.1; Melon, Jerome 2; Turner, Robin 3; Chan, Symphorosa S. C.2; Karantanis, Emmanuel 1
通讯作者	Bates, Lucy J.
会议名称	42nd Annual Meeting of the International-Urogynecological-Association (IUGA)
会议日期	JUN 20-24, 2017
会议地点	Vancouver, CANADA
英文摘要	Introduction and hypothesisObstetric anal sphincter injury (OASIS) rates are reported to be higher in Asian women living in Western countries than in those living in Asia, but the reasons for the differences remain unclear. The objectives of this study were for a single examiner to prospectively compare OASIS rates in primiparous Asian women in an Asian and Western birth unit and determine potential birth factors that may influence the possible difference in OASIS incidence.MethodsThis was a prospective observational study based in Hong Kong, China, and Sydney, Australia, involving primiparous women > 36weeks gestation of Asian descent undergoing vaginal delivery. A single examiner recorded basic patient demographics, observed all the deliveries at both sites, noting birthing techniques, and then examined the women, including a rectal examination, to determine OASIS incidence.ResultsSeventy births in Hong Kong and 66 in Sydney were studied. The incidence of OASIS was 34% in Sydney and 10% in Hong Kong (p=0.001). Birthweight, epidural rate, body mass index, and instrumental delivery were higher in Sydney. Episiotomy rates were higher in Hong Kong (59.2% vs. 82.9%; p=0.007). When comparing OASIS with no-OASIS, perineal length (OR=0.36, 95% CI 0.17 to 0.76, p=0.004) and birthweight (OR=1.14, 95% CI 1.00 to 1.30, p=0.039) were independent risk factors for OASIS.ConclusionsThe incidence of OASIS in Asian women is significantly higher in a Western than in an Asian setting. In Asian women, perineal length and birthweight can affect the risk of OASIS at the time of vaginal delivery.
英文关键词	Birthweight Episiotomy OASIS Perineal length Primiparous
来源出版物	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2019
卷号	30
期号	3
页码	429-437
出版者	SPRINGER LONDON LTD
类型	Article; Proceedings Paper
语种	英语
国家	Australia;Peoples R China;New Zealand
收录类别	CPCI-S
WOS记录号	WOS:000460137000014
WOS关键词	RISK-FACTORS ; INCONTINENCE ; OUTCOMES
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	会议论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/308270
作者单位	1.Univ New South Wales, St George Hosp, Sydney, NSW, Australia; 2.Chinese Univ Hong Kong, Prince Wales Hosp, Shatin, Hong Kong, Peoples R China; 3.Univ Otago, Dunedin Sch Med, Deans Off, Dunedin, New Zealand
推荐引用方式 GB/T 7714	Bates, Lucy J.,Melon, Jerome,Turner, Robin,et al. Prospective comparison of obstetric anal sphincter injury incidence between an Asian and Western hospital[C]:SPRINGER LONDON LTD,2019:429-437.