干旱区生态环境知识资源中心(Arid): Risk factors for obstetric anal sphincter injury among parous women

Arid

DOI	10.1007/s00404-020-05806-w
	Risk factors for obstetric anal sphincter injury among parous women
	Levin, Gabriel; Rottenstreich, Amihai; Tsur, Abraham; Cahan, Tal; Yoeli-Ullman, Rakefet; Shai, Daniel; Meyer, Raanan
通讯作者	Levin, G
来源期刊	ARCHIVES OF GYNECOLOGY AND OBSTETRICS
ISSN	0932-0067
EISSN	1432-0711
英文摘要	Purpose Nulliparity and operative vaginal delivery are established risk factor for obstetric anal sphincter injury (OASI). However, risk factors for OASIS occurrence among parous women delivering vaginally are not well-established. We aimed to study the risk factors for OASI occurrence among parous women. Methods A retrospective study including all parous women who delivered vaginally at term during 2011-2019 at a university hospital.Deliveries of parous women with OASI were compared to deliveries without OASI. The risk factors associated with OASI were investigated. Results Overall, 35,397 women were included in the study with an OASI rate of 0.4% (n = 144). A higher rate of only one previous vaginal delivery was noted in the OASI group (78.5% vs. 46.4%, OR [95% CI] 4.20, 2.82-6.25,p < 0.001). The rate of vacuum-assisted deliveries was comparable between the study groups. The median birth weight was higher among the OASI group (3566 vs. 3300 g,p < 0.001), as was the rate of macrosomic neonates (19.4% vs. 5.5%, OR [95% CI] 4.15, 2.74-6.29,p < 0.001). On multivariate logistic regression analysis, only two factors were independently positively associated with the occurrence of OASI: a history of only one previous vaginal delivery (adjusted OR [95% CI] 4.34, 2.90-6.49,p = 0.001), and neonatal birth-weight (for each 500 g increment) (adjusted OR [95% CI] 2.51, 1.84-3.44,p < 0.001). Conclusions Among parous women, the only factors found to be independently positively associated with OASI were the order of parity and neonatal birth-weight. Vacuum-assisted delivery was not associated with an increased risk of OASI among parous women.
英文关键词	Birthweight Episiotomy Obstetric anal sphincter injury Parity Parous Vacuum-assisted delivery
类型	Article ; Early Access
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000572721500001
WOS关键词	SEVERE PERINEAL LACERATIONS ; OPERATIVE VAGINAL DELIVERY ; EPISIOTOMY ; MANAGEMENT ; TRAUMA ; TRENDS ; IMPACT ; DAMAGE ; TEARS ; MODE
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
来源机构	Hebrew University of Jerusalem
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/328273
作者单位	[Levin, Gabriel; Rottenstreich, Amihai] Hadassah Hebrew Univ, Med Ctr, Dept Obstet & Gynecol, POB 12000, IL-91120 Jerusalem, Israel; [Tsur, Abraham; Cahan, Tal; Yoeli-Ullman, Rakefet; Shai, Daniel; Meyer, Raanan] Tel Aviv Univ, Fac Med, Tel Aviv, Israel
推荐引用方式 GB/T 7714	Levin, Gabriel,Rottenstreich, Amihai,Tsur, Abraham,et al. Risk factors for obstetric anal sphincter injury among parous women[J]. Hebrew University of Jerusalem.
APA	Levin, Gabriel.,Rottenstreich, Amihai.,Tsur, Abraham.,Cahan, Tal.,Yoeli-Ullman, Rakefet.,...&Meyer, Raanan.
MLA	Levin, Gabriel,et al."Risk factors for obstetric anal sphincter injury among parous women".ARCHIVES OF GYNECOLOGY AND OBSTETRICS