干旱区生态环境知识资源中心(Arid): Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems

Arid

DOI	10.1515/jpm-2019-0477
	Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems - a retrospective cohort study
	Kreft, Martina; Zimmermann, Roland; Kimmich, Nina
通讯作者	Kreft, M
来源期刊	JOURNAL OF PERINATAL MEDICINE
ISSN	0300-5577
EISSN	1619-3997
出版年	2020
卷号	48 期号:6 页码:575-581
英文摘要	Objectives: Birth tears are a common complication of vaginal childbirth. We aimed to evaluate the outcomes of birth tears first by comparing the mode of vaginal birth (VB) and then comparing different vacuum cups in instrumental VBs in order to better advise childbearing women and obstetrical professionals. Methods: In a retrospective cohort study, we analyzed nulliparous and multiparous women with a singleton pregnancy in vertex presentation at >= 37+0 gestational weeks who gave birth vaginally at our tertiary care center between 06/2012 and 12/2016. We compared the distribution of tear types in spontaneous births (SBs) vs. vacuum-assisted VBs. We then compared the tear distribution in the vacuum group when using the Kiwi Omnicup or Bird's anterior metal cup. Outcome parameters were the incidence and distribution of the different tear types dependent on the mode of delivery and type of vacuum cup. Results: A total of 4549 SBs and 907 VBs were analyzed. Birth tear distribution differed significantly between the birth modes. In 15.2% of women with an SB an episiotomy was performed vs. 58.5% in women with a VB. Any kind of perineal tear was seen in 45.7% after SB and in 32.7% after VB. High-grade obstetric anal sphincter injuries (OASIS) appeared in 1.1% after SB and in 3.1% after VB. No significant changes in tear distribution were found between the two different VB modes. Conclusions: There were more episiotomies, vaginal tears and OASIS after VB than after SR. In contrast, there were more low-grade perineal and labial tears after SB. No significant differences were found between different vacuum cup systems, just a slight trend toward different tear patterns.
英文关键词	anal sphincter assisted vaginal birth birth tears lacerations vacuum ventouse perineal tears
类型	Article
语种	英语
开放获取类型	Green Accepted
收录类别	SSCI
WOS记录号	WOS:000573920200008
WOS关键词	RANDOMIZED CONTROLLED-TRIAL ; KIWI OMNICUP ; INTERVENTIONAL PROGRAM ; URINARY-INCONTINENCE ; PERINEAL TRAUMA ; DELIVERY ; DOCUMENTATION ; CHILDBIRTH ; PREVALENCE ; SAFETY
WOS类目	Obstetrics & Gynecology ; Pediatrics
WOS研究方向	Obstetrics & Gynecology ; Pediatrics
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/326571
作者单位	[Kreft, Martina; Zimmermann, Roland; Kimmich, Nina] Univ Hosp Zurich, Div Obstet, Frauenklinikstr 10, CH-8091 Zurich, Switzerland
推荐引用方式 GB/T 7714	Kreft, Martina,Zimmermann, Roland,Kimmich, Nina. Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems - a retrospective cohort study[J],2020,48(6):575-581.
APA	Kreft, Martina,Zimmermann, Roland,&Kimmich, Nina.(2020).Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems - a retrospective cohort study.JOURNAL OF PERINATAL MEDICINE,48(6),575-581.
MLA	Kreft, Martina,et al."Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems - a retrospective cohort study".JOURNAL OF PERINATAL MEDICINE 48.6(2020):575-581.