干旱区生态环境知识资源中心(Arid): Risk factors for perineal trauma in the primiparous population during non-operative vaginal delivery

Arid

DOI	10.1007/s00192-019-03944-7
	Risk factors for perineal trauma in the primiparous population during non-operative vaginal delivery
	D'; Souza, Joanna C.1,2; Monga, Ash 2; Tincello, Douglas G.3
通讯作者	D&#39 ; Souza, Joanna C.
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2020
卷号	31 期号:3 页码:621-625
英文摘要	Introduction and hypothesis Obstetric anal sphincter injuries (OASIS) are more common in the primiparous population, especially during operative vaginal delivery (OVD). It would therefore be interesting to establish what factors influence the risk of OASIS when adjusting for the risk bias of OVD. Methods Retrospective analysis of prospectively collected data from the maternity database at University of Southampton NHS Foundation Trust of primiparous women sustaining OASIS during a singleton, term, cephalic, non-operative vaginal delivery between 2004 and 2015. A control comparison was made of women with otherwise identical birthing conditions but resulting with intact perinea, delivering between 2014 and 2015. Univariate and multivariate logistic regression compared maternal, intrapartum and neonatal factors of those sustaining OASIS with those with an intact perineum. Results Seven hundred fifty-six women sustaining an OASI met the criteria, and comparisons were made with a control population of 212. Those sustaining an OASI were significantly older (p < 0.001), more likely to be Asian (4.6-fold, p < 0.001) and had heavier babies, with a 3.6-fold greater proportion over 4 kg (p = 0.001). They were more likely to have delivered post-term and had longer second stages of labour (both p < 0.001). Epidural anaesthesia was associated with a 67% reduction in OASIS. Conclusions These findings support previous research regarding risk factors for OASIS. By controlling for bias of risk associated with operative vaginal delivery, this revealed a potential protective effect of the use of regional anaesthesia.
英文关键词	Obstetric anal sphincter injuries (OASIS) Obstetric anal sphincter injury (OASI) Perineal trauma Primiparity
类型	Article
语种	英语
国家	England
开放获取类型	Green Published, Green Accepted, hybrid
收录类别	SCI-E
WOS记录号	WOS:000521333300023
WOS关键词	ANAL-SPHINCTER RUPTURE ; LACERATIONS ; INJURIES ; TRENDS ; WOMEN
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/314805
作者单位	1.Univ Southampton, Univ Hosp Southampton NHS Fdn Trust, Fac Med, Tremona Rd, Southampton SO16 6YD, Hants, England; 2.Univ Hosp Southampton NHS Fdn Trust, Princess Anne Hosp, Dept Urogynaecol, Coxford Rd, Southampton SO16 5YA, Hants, England; 3.Univ Leicester, Coll Life Sci, Dept Hlth Sci, Univ Rd, Leicester LE1 7RH, Leics, England
推荐引用方式 GB/T 7714	D',Souza, Joanna C.,Monga, Ash,et al. Risk factors for perineal trauma in the primiparous population during non-operative vaginal delivery[J],2020,31(3):621-625.
APA	D',Souza, Joanna C.,Monga, Ash,&Tincello, Douglas G..(2020).Risk factors for perineal trauma in the primiparous population during non-operative vaginal delivery.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(3),621-625.
MLA	D',et al."Risk factors for perineal trauma in the primiparous population during non-operative vaginal delivery".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.3(2020):621-625.