干旱区生态环境知识资源中心(Arid): Maternal outcomes in subsequent delivery after previous obstetric anal sphincter injury (OASI): a multi-centre retrospective cohort study

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DOI	10.1007/s00192-019-03983-0
	Maternal outcomes in subsequent delivery after previous obstetric anal sphincter injury (OASI): a multi-centre retrospective cohort study
	D'; Souza, Joanna Caroline 1,2; Monga, Ash 2; Tincello, Douglas G.3,4; Sultan, Abdul H.5; Thakar, Ranee 5; Hillard, Timothy C.6; Grigsby, Stephanie 6; Kibria, Ayisha 4; Jordan, Clare F.4; Ashmore, Christopher 4
通讯作者	D&#39 ; Souza, Joanna Caroline
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:627-633
英文摘要	Introduction and hypothesis Women with a history of obstetric anal sphincter injury (OASI) are at increased risk of recurrence (rOASI) at subsequent delivery; however, evidence regarding the factors influencing this risk is limited. Furthermore, little is known about what factors influence the decision to alternatively deliver by elective caesarean section (ELLSCS). Methods Retrospective univariate and multivariate logistic regression analysis of prospectively collected data from four NHS electronic maternity databases including primiparous women sustaining OASIS during a singleton, term, cephalic, vaginal delivery between 2004 and 2015, who had a subsequent delivery. Results Two thousand two hundred seventy-two women met the criteria; 10.2% delivering vaginally had a repeat OASI and 59.4% had a second-degree tear. Women having an ELLSCS were more likely to be Caucasian, older, have previously had an operative vaginal delivery (OVD) and have a more severe degree of OASI. Positive predictors for rOASI were increased birth weight and maternal age at both index and subsequent deliveries, a more severe degree of initial OASI and Asian ethnicity. The overall mediolateral episiotomy (MLE) rate was 15.6%; 77.2% of those who had an episiotomy sustained no spontaneous perineal trauma. Only 4.4% of women with a rOASI had an MLE, whilst the MLE rate was 16.9% in those without a recurrence (p < 0.001). MLE decreased the risk of rOASI by 80%. Birth weight > 4 kg increased the risk 2.5 fold. Conclusions Women with previous OASIS are at an increased risk of recurrence. A more liberal use of MLE during subsequent vaginal delivery could significantly reduce the risk of recurrence.
英文关键词	Obstetric anal sphincter injuries Perineal trauma Mediolateral episiotomy Recurrent obstetric anal sphincter injury
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:000521333300024
WOS关键词	RISK-FACTORS ; PERINEAL TRAUMA ; VAGINAL BIRTH ; TEARS ; LACERATIONS ; 2ND-STAGE ; LENGTH ; CARE ; 3RD
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/2XILL650/314806
作者单位	1.Univ Southampton, Univ Hosp NHS Fdn Trust, Fac Med, Southampton, Hants, England; 2.Univ Hosp NHS Fdn Trust, Princess Anne Hosp, Southampton, Hants, England; 3.Univ Leicester, Coll Life Sci, Dept Hlth Sci, Leicester, Leics, England; 4.Univ Hosp Leicester NHS Trust, Leicester, Leics, England; 5.Croydon Hlth Serv NHS Trust, Croydon, England; 6.Poole Hosp NHS Fdn Trust, Poole, Dorset, England
推荐引用方式 GB/T 7714	D',Souza, Joanna Caroline,Monga, Ash,et al. Maternal outcomes in subsequent delivery after previous obstetric anal sphincter injury (OASI): a multi-centre retrospective cohort study[J],2020,31(3):627-633.
APA	D'.,Souza, Joanna Caroline.,Monga, Ash.,Tincello, Douglas G..,Sultan, Abdul H..,...&Ashmore, Christopher.(2020).Maternal outcomes in subsequent delivery after previous obstetric anal sphincter injury (OASI): a multi-centre retrospective cohort study.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(3),627-633.
MLA	D',et al."Maternal outcomes in subsequent delivery after previous obstetric anal sphincter injury (OASI): a multi-centre retrospective cohort study".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.3(2020):627-633.