干旱区生态环境知识资源中心(Arid): The Incidence of and Predictors for Severe Perineal Trauma and Intact Perineum in Women Having a Waterbirth in England: A Hospital-Based Study

Arid

DOI	10.1089/jwh.2019.8244
	The Incidence of and Predictors for Severe Perineal Trauma and Intact Perineum in Women Having a Waterbirth in England: A Hospital-Based Study
	Papoutsis, Dimitrios; Antonakou, Angeliki; Gornall, Adam; Tzavara, Chara
通讯作者	Papoutsis, D
来源期刊	JOURNAL OF WOMENS HEALTH
ISSN	1540-9996
EISSN	1931-843X
英文摘要	Background:To determine the incidence of and predictors for obstetric anal sphincter injuries (OASIS) and intact perineum in women giving birth in the water and compare with the general obstetric population. Materials and Methods:Data were retrospectively collected for women who had singleton cephalic presentation vaginal births in the water and the general obstetric population between August 2007 and December 2017. Results:We identified 1,007 women who had a waterbirth and 36,924 women from the general obstetric population. There was no significant difference in the incidence of OASIS between waterbirths and the general obstetric population (2.3% vs. 2.0%). Having a waterbirth was associated with a lower probability for an intact perineum (odds ratio [OR] = 0.83; confidence interval [95% CI]: 0.73-0.94) when compared with the general obstetric population (44.7% vs. 51.3%). Nulliparous women with a waterbirth when compared with multiparous women had an eightfold higher likelihood for the occurrence of OASIS (OR = 8.28; 95% CI: 2.64-25.86). The risk for a higher degree of OASIS was associated with increased maternal age in the total sample (OR = 1.08; 95% CI: 1.06-1.11) and with a lower body mass index (BMI) at booking in multiparous women (OR = 0.96; 95% CI: 0.92-0.99). The risk for any type of perineal trauma was associated with increased maternal age in the total sample (OR = 1.10; 95% CI: 1.07-1.13) and with a lower BMI at booking in multiparous women (OR = 0.95; 95% CI: 0.91-0.99). Conclusions:We found that giving birth in the water reduced the chance of having an intact perineum. We have also shown that nulliparity, increased maternal age in all women, and a lower BMI at booking in multiparous were associated with OASIS and lower rates of intact perineum in waterbirths.
英文关键词	waterbirth perineum obstetric anal sphincter injury age parity body mass index
类型	Article ; Early Access
语种	英语
开放获取类型	Bronze
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000568283100001
WOS关键词	RISK-FACTORS ; PREGNANCY OUTCOMES ; SUBSEQUENT ; TEARS ; BIRTH ; IMPACT ; OASIS ; LABOR
WOS类目	Public, Environmental & Occupational Health ; Medicine, General & Internal ; Obstetrics & Gynecology ; Women's Studies
WOS研究方向	Public, Environmental & Occupational Health ; General & Internal Medicine ; Obstetrics & Gynecology ; Women's Studies
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/328226
作者单位	[Papoutsis, Dimitrios; Gornall, Adam] Shrewsbury & Telford Hosp NHS Trust, Dept Obstet & Gynaecol, Grainger Dr, Telford TF16TF, Shrops, England; [Papoutsis, Dimitrios] Univ Western Macedonia, Sch Hlth Sci, Kozani, Greece; [Antonakou, Angeliki] Int Hellen Univ, Midwifery Sch, Dept Midwifery, Thessaloniki, Greece; [Tzavara, Chara] Univ Athens, Med Sch, Dept Hyg Epidemiol & Med Stat, Athens, Greece
推荐引用方式 GB/T 7714	Papoutsis, Dimitrios,Antonakou, Angeliki,Gornall, Adam,et al. The Incidence of and Predictors for Severe Perineal Trauma and Intact Perineum in Women Having a Waterbirth in England: A Hospital-Based Study[J].
APA	Papoutsis, Dimitrios,Antonakou, Angeliki,Gornall, Adam,&Tzavara, Chara.
MLA	Papoutsis, Dimitrios,et al."The Incidence of and Predictors for Severe Perineal Trauma and Intact Perineum in Women Having a Waterbirth in England: A Hospital-Based Study".JOURNAL OF WOMENS HEALTH