Arid
DOI10.1007/s00192-020-04419-w
Indications for surgical intervention in a postpartum pelvic floor specialty clinic
Jibrel, Fatima; Cox, Caroline K.; Fairchild, Pamela S.; Fenner, Dee E.; Suresh, Shriya; Swenson, Carolyn W.
通讯作者Jibrel, F
来源期刊INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN0937-3462
EISSN1433-3023
出版年2020
卷号31期号:11页码:2233-2236
英文摘要Objective To determine the prevalence and type of surgical procedures undergone by postpartum women seen in a specialty postpartum pelvic floor clinic over 11 years. Methods This study was a retrospective chart review of patients requiring surgical intervention within a 1-year period after their initial visit to the Michigan Healthy Healing After Delivery (MHHAD) clinic at the University of Michigan from July 2007 through January 2019. Chart review was performed to abstract demographics, obstetric data, indication for postpartum clinic visit, primary and secondary indications for surgery, and procedures performed. Descriptive analyses were used to describe the cohort. Results Of the 1138 new MHHAD patients seen during the study period, 9.1% (n = 103) underwent surgical management. Anal incontinence was the primary or secondary indication for surgery in 51.5% (n = 53) of women. The most common surgical interventions were anal sphincteroplasty (37.9%,n = 39), perineal laceration revision (33.0%,n = 34), and rectovaginal fistula repair/fistulotomy (19.4%,n = 20). Of the women who had a sphincteroplasty, 61.5% (24/39) had a prior fourth-degree perineal laceration. Conclusions Anal sphincteroplasty was the most common surgical intervention undergone by women seen in a postpartum pelvic floor specialty clinic. Postpartum pelvic floor clinics, such as the Michigan Healthy Healing After Delivery Clinic, provide the expertise and specialized resources required to ensure the early diagnosis and treatment of pelvic floor conditions related to childbirth thus improving women's quality of life and preventing potential life-long sequelae.
英文关键词Obstetric anal sphincter injuries (OASIS) Postpartum complications Anal sphincteroplasty Postpartum clinic
类型Article
语种英语
收录类别SCI-E
WOS记录号WOS:000547231300003
WOS关键词ANAL-SPHINCTER INJURIES ; RISK
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/2XILL650/324994
作者单位[Jibrel, Fatima; Cox, Caroline K.; Fairchild, Pamela S.; Fenner, Dee E.; Suresh, Shriya; Swenson, Carolyn W.] Univ Michigan, Dept Obstet & Gynecol, L3211 Womens Hosp,SPC 5276,1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
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GB/T 7714
Jibrel, Fatima,Cox, Caroline K.,Fairchild, Pamela S.,et al. Indications for surgical intervention in a postpartum pelvic floor specialty clinic[J],2020,31(11):2233-2236.
APA Jibrel, Fatima,Cox, Caroline K.,Fairchild, Pamela S.,Fenner, Dee E.,Suresh, Shriya,&Swenson, Carolyn W..(2020).Indications for surgical intervention in a postpartum pelvic floor specialty clinic.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(11),2233-2236.
MLA Jibrel, Fatima,et al."Indications for surgical intervention in a postpartum pelvic floor specialty clinic".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.11(2020):2233-2236.
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