干旱区生态环境知识资源中心(Arid): Risk factors for obstetric anal sphincter injuries (OASIS) during vacuum extraction delivery in a university affiliated maternity hospital

Arid

DOI	10.1080/14767058.2018.1514376
	Risk factors for obstetric anal sphincter injuries (OASIS) during vacuum extraction delivery in a university affiliated maternity hospital
	Segal, David; Baumfeld, Yael; Yahav, Lior; Yohay, David; Geva, Yael; Press, Fernanda; Weintraub, Adi Y.
通讯作者	Segal, David
来源期刊	JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
ISSN	1476-7058
EISSN	1476-4954
出版年	2020
卷号	33 期号:6 页码:999-1003
英文摘要	Introduction: Instrumental delivery is a well-known risk factor for obstetric anal sphincter injuries (OASIS). The specific characteristics among patient undergoing vacuum extraction delivery (VE) are less studied. Therefore, we aimed to evaluate risk factors for OASIS among parturient that underwent a VE delivery in a large university affiliated maternity hospital. Material and methods: The study population contained 9116 women who delivered by VE in tertiary medical center from 1988 to 2015. Inclusion criteria included deliveries beyond 24-week gestation. Multiple gestations and pregnancies complicated with stillbirth were excluded from the analysis. Maternal obstetric variables were compared between parturient with and without OASIS. Independent risk factors for OASIS were assessed by multivariable logistic regression modeling. Results: OASIS was diagnosed in 94 women (1.03%) following vacuum extraction. Among patients who underwent a VE delivery, gravidity and parity were found to be significantly lower in patients with OASIS. A multivariable logistic regression model with OASIS as the outcome variable revealed that among women who underwent VE, while episiotomy and delivery of a macrosomic neonate were not independently associated with OASIS, a strong association between nulliparity and OASIS was found (OR 3.34; 95% CI 1.93-5.78; p < .001). Conclusions: OASIS is uncommon in our population. Vacuum extraction in nulliparous parturient is a significant risk factor for OASIS. Our results should be taken into account when managing nulliparous deliveries.
英文关键词	Obstetric anal sphincter injuries vacuum extraction delivery nulliparity risk factors
类型	Article
语种	英语
国家	Israel
收录类别	SCI-E
WOS记录号	WOS:000505890300019
WOS关键词	VAGINAL DELIVERY ; PERINEAL INJURY ; 3RD ; EPISIOTOMY ; DAMAGE ; TEARS ; WOMEN
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
来源机构	Ben-Gurion University of the Negev
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/315030
作者单位	Ben Gurion Univ Negev, Soroka Univ Med Ctr, Fac Hlth Sci, Dept Obstet & Gynecol, POB 151, Beer Sheva, Israel
推荐引用方式 GB/T 7714	Segal, David,Baumfeld, Yael,Yahav, Lior,et al. Risk factors for obstetric anal sphincter injuries (OASIS) during vacuum extraction delivery in a university affiliated maternity hospital[J]. Ben-Gurion University of the Negev,2020,33(6):999-1003.
APA	Segal, David.,Baumfeld, Yael.,Yahav, Lior.,Yohay, David.,Geva, Yael.,...&Weintraub, Adi Y..(2020).Risk factors for obstetric anal sphincter injuries (OASIS) during vacuum extraction delivery in a university affiliated maternity hospital.JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE,33(6),999-1003.
MLA	Segal, David,et al."Risk factors for obstetric anal sphincter injuries (OASIS) during vacuum extraction delivery in a university affiliated maternity hospital".JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE 33.6(2020):999-1003.