干旱区生态环境知识资源中心(Arid): Prediction of levator ani muscle avulsion by genital tears after vaginal birth-a prospective observational cohort study

Arid

DOI	10.1007/s00192-020-04297-2
	Prediction of levator ani muscle avulsion by genital tears after vaginal birth-a prospective observational cohort study
	Kimmich, Nina; Birri, Jana; Zimmermann, Roland; Kreft, Martina
通讯作者	Kimmich, N
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:2361-2366
英文摘要	Introduction Visible birth tears and levator ani muscle (LAM) trauma are common after birth. For the diagnosis of LAM trauma ultrasound evaluation is advisable. As ultrasound equipment and trained personnel are not available everywhere at all times, we aimed to evaluate whether specific overt birth tears are an indicator for LAM trauma. Methods In a prospective cohort study at our center from March 2017-April 2019, we evaluated vaginal births of nulliparous women with singletons in vertex presentation >= 36 + 0 gestational weeks for LAM trauma by translabial ultrasound and for overt birth tears by inspection. We then calculated the association of overt birth tears with complete LAM avulsion. Results Of 213 women, 23.9% had any kind of LAM trauma, with 14.1% being complete avulsions. In univariate analysis, solely high-grade perineal tears (OASIS) were significantly associated with complete LAM avulsions. Conclusions Fourteen percent of women suffered a complete LAM avulsion after vaginal birth, with OASIS being the only associated parameter of significance. The occurrence of such trauma might be an indicator for a mismatch between the size of the fetus and the structures of the birth canal, leading to birth trauma. Assessing for LAM trauma by translabial ultrasound in women with OASIS might be worthwhile.
英文关键词	Levator ani Avulsion Birth tears OASIS Vaginal birth Pelvic floor
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000557511100001
WOS关键词	PELVIC FLOOR TRAUMA ; CHILDBIRTH ; DELIVERY ; DIAGNOSIS ; INJURY
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/2XILL650/325515
作者单位	[Kimmich, Nina; Birri, Jana; Zimmermann, Roland; Kreft, Martina] Univ Hosp Zurich, Div Obstet, Frauenklin Str 10, CH-8091 Zurich, Switzerland
推荐引用方式 GB/T 7714	Kimmich, Nina,Birri, Jana,Zimmermann, Roland,et al. Prediction of levator ani muscle avulsion by genital tears after vaginal birth-a prospective observational cohort study[J],2020,31(11):2361-2366.
APA	Kimmich, Nina,Birri, Jana,Zimmermann, Roland,&Kreft, Martina.(2020).Prediction of levator ani muscle avulsion by genital tears after vaginal birth-a prospective observational cohort study.INTERNATIONAL UROGYNECOLOGY JOURNAL,31(11),2361-2366.
MLA	Kimmich, Nina,et al."Prediction of levator ani muscle avulsion by genital tears after vaginal birth-a prospective observational cohort study".INTERNATIONAL UROGYNECOLOGY JOURNAL 31.11(2020):2361-2366.