干旱区生态环境知识资源中心(Arid): Evaluation of a policy of restrictive episiotomy on the incidence of perineal tears among women with spontaneous vaginal delivery: A ten-year retrospective study

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DOI	10.1016/j.jogoh.2020.101870
	Evaluation of a policy of restrictive episiotomy on the incidence of perineal tears among women with spontaneous vaginal delivery: A ten-year retrospective study
	Blanc-Petitjean, Pauline; Meunier, Geraldine; Sibiude, Jeanne; Mandelbrot, Laurent
通讯作者	Blanc-Petitjean, P
来源期刊	JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION
ISSN	2468-7847
EISSN	1773-0430
出版年	2020
卷号	49 期号:8
英文摘要	Introduction: Routine episiotomy is no longer recommended to limit obstetrical anal sphincter injuries (OASIs). We aimed to evaluate the effect of a restrictive policy of episiotomy on the risk of OASIs during spontaneous vaginal deliveries. Material and methods: We performed a retrospective single-center observational study among women with a term singleton cephalic fetus, with spontaneous vaginal delivery. The occurrence of episiotomy, intact perineum, first, second, third or fourth-degree (OASIs) perineal tears were compared before (period A, from 01/01/2006 to 12/31/2008) and after (period B, from 01/01/2012 to 12/31/2016) implementation of the restrictive policy. Odds of perineal tear were estimated using multivariable logistic regression models, stratified by parity. Results: From 2006-2016, the rate of episiotomy decreased, from 14.9 % (n/N = 200/1141) to 4.7 % (94/1912). In period B (N = 8984) vs A (N = 8984), the rates of episiotomy were, 12.9 vs 26.6 % for nulliparas (p < 0.01) and 2.3 vs 6.8 % for multiparas (p < 0.01). Odds of OASIs were not different in period B vs A, both for nulliparas (0.9 vs 0.8 %, AOR = 0.88(0.38-2.05)) and multiparas (0.4 vs 0.2 %, AOR = 2.28(0.63-8.29). Odds of second-degree tear were higher in period B vs A, both for nulliparas (39.8 vs 17.4 %, AOR = 2.55 (2.11-3.08) and multiparas (26.2 vs 12.8 %, AOR = 2.26(1.95-2.66)); and odds of intact perineum were lower (for nulliparas, 15.8 vs 24.9 %, AOR = 0.61(0.42-0.90) and for multiparas, 47.1 vs 56.0 %, AOR = 0.61 (0.49-0.76)). No difference was observed for first-degree tears. Conclusion: The progressive implementation of a restrictive policy of episiotomy during spontaneous vaginal delivery was not associated with an increased risk of OASIs over a ten-year period. (C) 2020 Elsevier Masson SAS. All rights reserved.
英文关键词	Episiotomy OASIs Perineal tear Spontaneous vaginal delivery
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000576306100022
WOS关键词	RISK-FACTORS ; PERINATAL HEALTH ; POSTERIOR ; FRANCE ; TRENDS ; DECREASE ; COHORT ; IMPACT ; BIRTH
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/326683
作者单位	[Blanc-Petitjean, Pauline; Meunier, Geraldine] Univ Paris, INRA, INSERM, CRESS, F-75004 Paris, France; [Blanc-Petitjean, Pauline; Meunier, Geraldine; Sibiude, Jeanne; Mandelbrot, Laurent] Louis Mourier Hosp, AP HP, FHU PREMA, Dept Obstet & Gynecol, F-92700 Colombes, France; [Sibiude, Jeanne; Mandelbrot, Laurent] Univ Paris, INSERM, IAME, F-75018 Paris, France
推荐引用方式 GB/T 7714	Blanc-Petitjean, Pauline,Meunier, Geraldine,Sibiude, Jeanne,et al. Evaluation of a policy of restrictive episiotomy on the incidence of perineal tears among women with spontaneous vaginal delivery: A ten-year retrospective study[J],2020,49(8).
APA	Blanc-Petitjean, Pauline,Meunier, Geraldine,Sibiude, Jeanne,&Mandelbrot, Laurent.(2020).Evaluation of a policy of restrictive episiotomy on the incidence of perineal tears among women with spontaneous vaginal delivery: A ten-year retrospective study.JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION,49(8).
MLA	Blanc-Petitjean, Pauline,et al."Evaluation of a policy of restrictive episiotomy on the incidence of perineal tears among women with spontaneous vaginal delivery: A ten-year retrospective study".JOURNAL OF GYNECOLOGY OBSTETRICS AND HUMAN REPRODUCTION 49.8(2020).