干旱区生态环境知识资源中心(Arid): Low volume forceps practice and anal sphincter injury rate

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DOI	10.1007/s00404-020-05519-0
	Low volume forceps practice and anal sphincter injury rate
	Meyer, Raanan 1; Rottenstreich, Amihai 2; Kees, Salem 1; Zamir, Michal 3; Yagel, Simcha 2; Levin, Gabriel 2
通讯作者	Levin, Gabriel
来源期刊	ARCHIVES OF GYNECOLOGY AND OBSTETRICS
ISSN	0932-0067
EISSN	1432-0711
出版年	2020
卷号	301 期号:5 页码:1133-1138
英文摘要	Purpose While the increased rates of high degree perineal tears were previously associated with the use of forceps, in the current era of low volume of forceps practice, factors associated with the occurrence of this potential complication remain understudied. We aim to evaluate factors associated with obstetric anal sphincter injury (OASIS) in obstetric units with a low volume forceps practice. Methods A retrospective cohort study was conducted at two tertiary medical centers. All singleton pregnancies delivered by forceps extraction between 2011 and 2019 were analyzed. Women who experienced anal sphincter injury were compared to those who did not. Results The study cohort included 764 forceps deliveries. There were 19 (2.5%) cases of OASIS. Women with anal sphincter injury had higher rates of gestational diabetes mellitus (21% vs. 5.6%, OR [95% CI] 4.46 (1.41-14.04), p = 0.02). Birth weights and the rate of macrosomia did not differ between groups. Induction of labor was more common among the OASIS group (68% vs. 41.7%, OR [95% CI] 3.0 (1.1-8.0), p = 0.02). Sequential use of forceps (after failed vacuum attempt) was associated with OASIS (8 (42%) vs. 76 (10.2%), OR [95% CI] 6.4 (2.5-16.4), p < 0.001). In a multivariate logistic regression, sequential forceps was the only factor independently associated with OASIS (OR [95% CI] 4.7 (1.3-18.2), p = 0.02). Conclusions Rate of OASIS was relatively low in the current cohort. Sequential use of forceps was found to be the most important determinant in OASIS occurrence.
英文关键词	Forceps extraction Low volume High degree perineal tears Obstetric anal sphincter injury Morbidity Outcomes
类型	Article
语种	英语
国家	Israel
收录类别	SCI-E
WOS记录号	WOS:000524390200002
WOS关键词	KIELLANDS FORCEPS ; DELIVERY ; MORBIDITY ; OUTCOMES ; MODE ; TERM
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
来源机构	Hebrew University of Jerusalem
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/314098
作者单位	1.Chaim Sheba Med Ctr, Dept Obstet & Gynecol, Ramat Gan, Israel; 2.Hadassah Hebrew Univ, Dept Obstet & Gynecol, Med Ctr, POB 12000, IL-91120 Jerusalem, Israel; 3.Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel
推荐引用方式 GB/T 7714	Meyer, Raanan,Rottenstreich, Amihai,Kees, Salem,et al. Low volume forceps practice and anal sphincter injury rate[J]. Hebrew University of Jerusalem,2020,301(5):1133-1138.
APA	Meyer, Raanan,Rottenstreich, Amihai,Kees, Salem,Zamir, Michal,Yagel, Simcha,&Levin, Gabriel.(2020).Low volume forceps practice and anal sphincter injury rate.ARCHIVES OF GYNECOLOGY AND OBSTETRICS,301(5),1133-1138.
MLA	Meyer, Raanan,et al."Low volume forceps practice and anal sphincter injury rate".ARCHIVES OF GYNECOLOGY AND OBSTETRICS 301.5(2020):1133-1138.