干旱区生态环境知识资源中心(Arid): Impact of the EPISCISSORS-60 mediolateral episiotomy scissors on obstetric anal sphincter injuries: a 2-year data review in the United Kingdom

Arid

DOI	10.1007/s00192-019-04201-7
	Impact of the EPISCISSORS-60 mediolateral episiotomy scissors on obstetric anal sphincter injuries: a 2-year data review in the United Kingdom
	Koh, Li Mei 1; van Roon, Yves 2; Pradhan, Ashish 3; Pathak, Sangeeta 2,4
通讯作者	Pathak, Sangeeta
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2020
卷号	31 期号:9 页码:1729-1734
英文摘要	Introduction and hypothesis This time-series analysis was carried out to determine if the use of the EPISCISSORS-60 (R), episiotomy scissors specifically designed to achieve a cutting angle of 60 degrees, would continue to sustain obstetric anal sphincter injuries (OASIS) reductions at our hospital 2 years after its introduction. Methods We compared data from 2,342 women delivered in 2014 (prior to the introduction of EPISCISSORS-60 (R)) with that of 4,498 women delivered from 2016 to 2017 (after the introduction of EPISCISSORS-60 (R)). Results There was a reduction of OASIS in all nulliparous vaginal deliveries (NVD; 7.2% vs 5.1% p = 0.05), and a 50% reduction of OASIS (7.5% vs 3.7%) in operative vaginal deliveries (OVD) (p = 0.02). There was a statistically significant association between episiotomies performed with EPISCISSORS-60 (R) and a reduction in OASIS (SVD: 6.9% vs 1.5% p = 0.006; OVD:28.6% vs 2.6% p < 0.0001). Additionally, there was an increase in the use of episiotomies in all nulliparous vaginal deliveries (29% vs 33.7%; p = 0.01). We also found a 78% reduction of OASIS with episiotomies compared with no episiotomies in the 2016-2017 group (6.9% vs 1.5% p = 0.006). Conclusions Our results suggest that there might have been a sustained reduction in OASIS rates associated with using EPISCISSORS-60 (R).
英文关键词	Episiotomy EPISCISSORS-60 (R) Nulliparous women Third and fourth-degree tears Obstetric anal sphincter injuries
类型	Review
语种	英语
国家	England
收录类别	SCI-E
WOS记录号	WOS:000515676700002
WOS关键词	ANGLE
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/2XILL650/314808
作者单位	1.North West Anglia Fdn NHS Trust, Peterborough City Hosp, Dept Obstet & Gynaecol, Peterborough, England; 2.North West Anglia Fdn NHS Trust, Hinchingbrooke Hosp, Dept Obstet & Gynaecol, Huntingdon, England; 3.Addenbrookes Hosp, Dept Obstet & Gynaecol, Cambridge, England; 4.North West Anglia NHS Fdn Trust, Hinchingbrooke Hosp, Huntingdon PE29 6NT, England
推荐引用方式 GB/T 7714	Koh, Li Mei,van Roon, Yves,Pradhan, Ashish,et al. Impact of the EPISCISSORS-60 mediolateral episiotomy scissors on obstetric anal sphincter injuries: a 2-year data review in the United Kingdom[J],2020,31(9):1729-1734.
APA	Koh, Li Mei,van Roon, Yves,Pradhan, Ashish,&Pathak, Sangeeta.(2020).Impact of the EPISCISSORS-60 mediolateral episiotomy scissors on obstetric anal sphincter injuries: a 2-year data review in the United Kingdom.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(9),1729-1734.
MLA	Koh, Li Mei,et al."Impact of the EPISCISSORS-60 mediolateral episiotomy scissors on obstetric anal sphincter injuries: a 2-year data review in the United Kingdom".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.9(2020):1729-1734.