干旱区生态环境知识资源中心(Arid): Incidence of obstetric anal sphincter injuries after implementing the Triep-45 tool to improve episiotomy angle in instrumental deliveries

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DOI	10.1002/ijgo.13055
	Incidence of obstetric anal sphincter injuries after implementing the Triep-45 tool to improve episiotomy angle in instrumental deliveries
	Gonzalez-Diaz, Enrique 1; Fernandez Fernandez, Camino 2; Gonzalo Orden, Jose Manuel 3; Fernandez Corona, Alfonso 2
通讯作者	Gonzalez-Diaz, Enrique
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2020
卷号	148 期号:2 页码:231-237
英文摘要	Objective To assess the impact of Triepi-45-a tool that enables an episiotomy angle of 45 degrees to be marked on the perineum at rest-on the incidence of obstetric anal sphincter injuries (OASIS) during operative vaginal delivery (OVD). Method A retrospective-prospective cohort study was performed among successive women who underwent OVD at Complejo Asistencial Universitario de de Leon, Spain, between 2011 and 2013 (preintervention cohort, n=986) and between 2014 and 2016 (intervention cohort, n=986) after implementation of an interventional programme in 2013 to improve the episiotomy angle, including use of Triepi-45, in OVD. Results The intervention cohort had a lower incidence of OASIS than the preintervention cohort (70/986 [7.1%] vs 93/986 [9.4%]), but the difference was not significant, owing to the low use of Triepi-45 in the intervention cohort (n=375). However, the OASIS incidence was significantly lower in the Triepi-45 cohort than in the preintervention cohort (18/375 [4.8%] vs 93/986 [9.4%]; odds ratio, 0.47; 95% confidence interval, 0.26-0.86). Conclusion Use of Triepi-45 had a positive impact on reducing OASIS in OVD. It remains essential to raise obstetricians' awareness of the importance of the episiotomy angle and to implement the systematic use of tools to reduce the incidence of OASIS.
英文关键词	Episiotomy angle Obstetric anal sphincter injuries Operative vaginal delivery Triepi-45
类型	Article
语种	英语
国家	Spain
收录类别	SCI-E
WOS记录号	WOS:000499710600001
WOS关键词	MEDIOLATERAL EPISIOTOMY ; RISK-FACTORS ; INCISION ANGLE ; PERINEUM ; TEARS
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
EI主题词	2019-12-01
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/311030
作者单位	1.Complejo Asistencial Univ Leon, Dept Obstet & Gynecol, Pelv Floor Unit, Leon, Spain; 2.Complejo Asistencial Univ Leon, Dept Obstet & Gynecol, Leon, Spain; 3.Univ Leon, Inst Biomed Leon, Leon, Spain
推荐引用方式 GB/T 7714	Gonzalez-Diaz, Enrique,Fernandez Fernandez, Camino,Gonzalo Orden, Jose Manuel,et al. Incidence of obstetric anal sphincter injuries after implementing the Triep-45 tool to improve episiotomy angle in instrumental deliveries[J],2020,148(2):231-237.
APA	Gonzalez-Diaz, Enrique,Fernandez Fernandez, Camino,Gonzalo Orden, Jose Manuel,&Fernandez Corona, Alfonso.(2020).Incidence of obstetric anal sphincter injuries after implementing the Triep-45 tool to improve episiotomy angle in instrumental deliveries.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS,148(2),231-237.
MLA	Gonzalez-Diaz, Enrique,et al."Incidence of obstetric anal sphincter injuries after implementing the Triep-45 tool to improve episiotomy angle in instrumental deliveries".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 148.2(2020):231-237.