干旱区生态环境知识资源中心(Arid): Obstetric Anal Sphincter Injuries: A Survey of Clinical Practice Among Canadian Obstetricians

Arid

DOI	10.1016/S1701-2163(16)35338-5
	Obstetric Anal Sphincter Injuries: A Survey of Clinical Practice Among Canadian Obstetricians
	Best, Carolyn; Drutz, Harold P.; Alarab, May
通讯作者	Best, C
来源期刊	JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA
ISSN	1701-2163
出版年	2012
卷号	34 期号:8 页码:747-754
英文摘要	Objective: To describe the current practice, experience, and confidence of Canadian obstetricians in the management of obstetric anal sphincter injuries (OASIS) and to explore the need for national practice guidelines on this topic. Methods: We conducted a cross-sectional, Internet-based survey between December 2010 and March 2011. The survey was initially tested among a sample population and then distributed electronically to 665 Canadian obstetricians. Data were analyzed descriptively. The main outcome measures were the self-reported confidence and experience of Canadian obstetricians in OASIS management and the frequency of performing specific OASIS management steps. Results: The survey response rate was 28.7%. The majority of the respondents (95%) reported confidence in performing OASIS repairs. In the event of a perineal laceration, 47.9% of respondents routinely performed a rectal examination. Most OASIS repairs were performed in the delivery room (89.4%) under local anaesthesia (60.6%) when regional anaesthesia was not already present. If lacerated, the internal anal sphincter was repaired separately by 63.4% of respondents, and intraoperative antibiotics were ordered by 51.1% of respondents. Most (92%) reported the absence of a local protocol to guide OASIS repair. Conclusion: The confidence of Canadian obstetricians who participated in this survey in performing OASIS repairs was high. However, their experience in performing repairs and their use of management steps varied. The need for national guidelines and an increase in awareness is suggested.
英文关键词	Third-/fourth-degree tear obstetric anal sphincter injury practice survey
类型	Article
语种	英语
收录类别	ESCI
WOS记录号	WOS:000443291600006
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/2XILL650/330224
作者单位	[Best, Carolyn; Drutz, Harold P.; Alarab, May] Univ Toronto, Mt Sinai Hosp, Div Urogynaecol & Reconstruct Pelv Surg, Dept Obstet & Gynaecol, Toronto, ON, Canada
推荐引用方式 GB/T 7714	Best, Carolyn,Drutz, Harold P.,Alarab, May. Obstetric Anal Sphincter Injuries: A Survey of Clinical Practice Among Canadian Obstetricians[J],2012,34(8):747-754.
APA	Best, Carolyn,Drutz, Harold P.,&Alarab, May.(2012).Obstetric Anal Sphincter Injuries: A Survey of Clinical Practice Among Canadian Obstetricians.JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA,34(8),747-754.
MLA	Best, Carolyn,et al."Obstetric Anal Sphincter Injuries: A Survey of Clinical Practice Among Canadian Obstetricians".JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 34.8(2012):747-754.