干旱区生态环境知识资源中心(Arid): Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries

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DOI	10.1007/s00192-020-04241-4
	Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries
	van der Vlist, Matthieu 1; Oom, Daniella 1; van Rosmalen, Joost 2; van Ovost, Astrid 3; Hogewoning, Cornelis 1
通讯作者	van der Vlist, Matthieu
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2020
卷号	31 期号:11 页码:2353-2359
英文摘要	Introduction and hypothesis Our primary objective was to evaluate parturition mode (PM) recommendations following obstetric anal sphincter injuries (OASIs) and adherence to these recommendations and to evaluate recurrence of OASIs in women who had a subsequent vaginal delivery (VD). The hypothesis was that adherence to the PM recommendations leads to a reasonable OASI recurrence rate. Methods This was a retrospective observational cohort study of patients with previous OASIs between 2010 and 2016. After an outpatient visit including 3D transperineal ultrasound to screen for pelvic floor and anal sphincter injuries, all patients received recommendations for a subsequent PM. Patients were invited to complete validated questionnaires 2 to 5 years post-OASIs. Results The majority of invited patients (265/320) attended follow-up, with 264 receiving a recommendation for PM. Only 5.6% did not adhere to the received recommendation. One hundred sixty-one patients delivered again, 58% had a VD, and 42% had a cesarean section (CS). Recurrence of OASIs was observed in 4.3% of the patients that had a VD. Fecal incontinence occurred in 4.9%, however any form of anal incontinence in 48% of patients. While dyspareunia was common in patients with residual external anal sphincter (EAS) injuries and levator ani muscle (LAM) avulsions, anal pain occurred more frequently in EAS injuries and fecal incontinence in LAM avulsions. Conclusions This study showed that the vast majority of patients followed PM recommendations, and this resulted in a low recurrence of OASIs with a high CS rate. Fecal incontinence after OASIs was correlated with the degree of OASIs.
英文关键词	Obstetric anal sphincter injury Levator ani muscle avulsion Anal incontinence Obstetric deliveries Cesarean section Directive counseling
类型	Article
语种	英语
国家	Netherlands
开放获取类型	Green Published
收录类别	SCI-E
WOS记录号	WOS:000515971000002
WOS关键词	INCONTINENCE IMPACT QUESTIONNAIRE ; QUALITY-OF-LIFE ; FECAL INCONTINENCE ; MEDIOLATERAL EPISIOTOMY ; URINARY-INCONTINENCE ; VAGINAL DELIVERY ; RISK-FACTORS ; WOMEN ; ULTRASOUND
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/2XILL650/314809
作者单位	1.Albert Schweitzer Hosp, Reg Pelv Floor Unit, Dept Gynecol, Albert Schweitzerplaats 25, NL-3318 AT Dordrecht, Netherlands; 2.Erasmus MC, Dept Biostat, Rotterdam, Netherlands; 3.Erasmus Univ, Rotterdam, Netherlands
推荐引用方式 GB/T 7714	van der Vlist, Matthieu,Oom, Daniella,van Rosmalen, Joost,et al. Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries[J],2020,31(11):2353-2359.
APA	van der Vlist, Matthieu,Oom, Daniella,van Rosmalen, Joost,van Ovost, Astrid,&Hogewoning, Cornelis.(2020).Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(11),2353-2359.
MLA	van der Vlist, Matthieu,et al."Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.11(2020):2353-2359.