干旱区生态环境知识资源中心(Arid): Risk factors for severe perineal trauma during childbirth: An updated meta-analysis

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DOI	10.1016/j.ejogrb.2020.02.025
	Risk factors for severe perineal trauma during childbirth: An updated meta-analysis
	Pergialiotis, Vasilios 1,2; Bellos, Ioannis 1; Fanaki, Maria 1; Vrachnis, Nikolaos 2; Doumouchtsis, Stergios K.1,3,4
通讯作者	Pergialiotis, Vasilios
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2020
卷号	247 页码:94-100
英文摘要	Several studies have investigated the importance of maternal, fetal factors and intrapartum characteristics in predicting severe perineal lacerations. The purpose of the present systematic review is to accumulate current evidence and provide estimated effect sizes for the various risk factors described. We reviewed Medline, Scopus, Clinicaltrials.gov, EMBASE, Cochrane Central Register of Controlled Trials CENTRAL and Google Scholar for published studies in the field for observational studies as well as randomized controlled trials. Two researchers independently assessed the included studies and documented outcomes. Data extraction was performed using a modified data form that was based in Cochrane`s data collection form for intervention reviews for RCTs and non-RCTs. Forty-three articles were selected for inclusion in the present systematic review. The analyzed population reached 716,031 parturient of whom 22,280 (3,1%) sustained third- and fourth-degree perineal lacerations. Several risk factors were identified. Instrumental delivery [RR 3.38 (2.21, 5.18)], midline episiotomy [RR 2.88 (1.79, 4.65)] and a persistent occiput posterior position [RR 2.73 (2.08, 3.58)] were associated with the higher risk of developing severe perineal lacerations. Mediolateral episiotomy did not increase, but was also not protective against perineal lacerations [RR 1.55 (0.95, 2.53)]. Several factors contribute to the development of severe perineal lacerations. The present meta-analysis presents accumulated data that may help physicians estimate risks and provide appropriate patient counseling. (c) 2020 Elsevier B.V. All rights reserved.
英文关键词	Perineal trauma Perineal lacerations Obstetric trauma OASIS Sphincter trauma Meta-analysis
类型	Review
语种	英语
国家	Greece ; England
收录类别	SCI-E
WOS记录号	WOS:000528028900017
WOS关键词	ANAL-SPHINCTER INJURIES ; OPERATIVE VAGINAL DELIVERY ; PROSPECTIVE COHORT ; EPISIOTOMY ; LACERATIONS ; TEARS ; 3RD-DEGREE ; LABOR ; DETERMINANTS ; ASSOCIATION
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/314491
作者单位	1.Natl & Kapodistrian Univ Athens, Lab Expt Surg & Surg Res NS Christeas, Athens, Greece; 2.Natl & Kapodistrian Univ Athens, Attikon Univ Hosp, Dept Obstet & Gynecol 2, Athens, Greece; 3.Epsom & St Helier Univ Hosp NHS Trust, Dept Obstet & Gynaecol, London, England; 4.St Georges Univ London, London, England
推荐引用方式 GB/T 7714	Pergialiotis, Vasilios,Bellos, Ioannis,Fanaki, Maria,et al. Risk factors for severe perineal trauma during childbirth: An updated meta-analysis[J],2020,247:94-100.
APA	Pergialiotis, Vasilios,Bellos, Ioannis,Fanaki, Maria,Vrachnis, Nikolaos,&Doumouchtsis, Stergios K..(2020).Risk factors for severe perineal trauma during childbirth: An updated meta-analysis.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,247,94-100.
MLA	Pergialiotis, Vasilios,et al."Risk factors for severe perineal trauma during childbirth: An updated meta-analysis".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 247(2020):94-100.