干旱区生态环境知识资源中心(Arid): Delivery after an obstetric anal sphincter tear

Arid

DOI	10.1007/s00404-020-05550-1
	Delivery after an obstetric anal sphincter tear
	Pirhonen, J.1; Haadem, K.2; Gissler, M.3,4
通讯作者	Pirhonen, J.
来源期刊	ARCHIVES OF GYNECOLOGY AND OBSTETRICS
ISSN	0932-0067
EISSN	1432-0711
出版年	2020
卷号	301 期号:6 页码:1479-1484
英文摘要	Purpose The present study aimed to assess the risk of obstetric anal sphincter injuries (OASIS) of a subsequent delivery after the previous OASIS in countries with low (Finland) and high rates (Norway and Sweden) of OASIS. Methods This population-based case-control study included women who experienced OASIS 1997-2002. 26,598 women with OASIS were included from countries with low (Finland) and high (Norway and Sweden) OASIS incidences. Each case was matched with one background-adjusted control without OASIS. A follow-up data, including all subsequent deliveries between 1998 and 2011 were then collected. Statistics significances were calculated using chi-square test, test for relative proportions and Students t test, where appropriate. Results OASIS in the first birth was associated with increased recurrences in subsequent births, 6.9% vs. 1.7% in Norway (p < 0.001); 4.5% vs. 0.7 (p < 0.001) in Sweden; and 2.1% vs. 0.8% in Finland (p = 0.038). In Norway, more than two deliveries occurred in 4.8% of cases and 6.2% of controls (p = 0.001), 4.2% vs. 5.1% in Sweden (p < 0.001), and 5.7% vs. 6.3% in Finland (p = 0.572). For women with OASIS in a previous delivery, the rates of cesarean deliveries in subsequent pregnancies were 16.4% (7.9% for controls) in Norway, and 16.3% (6.0% for controls) in Sweden, and 50.2% (14.2% for controls) in Finland. In all countries, the differences between cases and controls were significant (p < 0.001). Conclusion Next deliveries after OASIS are associated with increased frequency of new OASIS, more cesarean deliveries, and less subsequent deliveries in the high-risk population than women without previous OASIS.
英文关键词	Obstetric anal sphincter injuries Subsequent delivery Scandinavian countries
类型	Article
语种	英语
国家	Norway ; Sweden ; Finland
开放获取类型	Green Published, hybrid
收录类别	SCI-E
WOS记录号	WOS:000528314700002
WOS关键词	RISK-FACTORS ; MEDIOLATERAL EPISIOTOMY ; INTERVENTIONAL PROGRAM ; CESAREAN DELIVERY ; VAGINAL DELIVERY ; INJURIES ; WOMEN ; INCONTINENCE ; RECURRENCE ; RUPTURE
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/2XILL650/314099
作者单位	1.Univ Hosp North Norway, Norwegian Continence & Pelv Floor Ctr, POB 96, N-9038 Tromso, Norway; 2.Lund Univ, Helsingborg Hosp, Dept Obstet & Gynecol, Helsingborg, Sweden; 3.Finnish Inst Hlth & Welf, Informat Serv Dept, Helsinki, Finland; 4.Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
推荐引用方式 GB/T 7714	Pirhonen, J.,Haadem, K.,Gissler, M.. Delivery after an obstetric anal sphincter tear[J],2020,301(6):1479-1484.
APA	Pirhonen, J.,Haadem, K.,&Gissler, M..(2020).Delivery after an obstetric anal sphincter tear.ARCHIVES OF GYNECOLOGY AND OBSTETRICS,301(6),1479-1484.
MLA	Pirhonen, J.,et al."Delivery after an obstetric anal sphincter tear".ARCHIVES OF GYNECOLOGY AND OBSTETRICS 301.6(2020):1479-1484.