干旱区生态环境知识资源中心(Arid): Comparison of obstetric anal sphincter injuries in nulliparous women before and after introduction of the EPISCISSORS-60 (R) at two hospitals in the United Kingdom

Arid

DOI	10.2147/IJWH.S94680
	Comparison of obstetric anal sphincter injuries in nulliparous women before and after introduction of the EPISCISSORS-60 (R) at two hospitals in the United Kingdom
	van Roon, Yves; Kirwin, Ciara; Rahman, Nadia; Vinayakarao, Latha; Melson, Louise; Kester, Nikki; Pathak, Sangeeta; Pradhan, Ashish
通讯作者	Pradhan, A
来源期刊	INTERNATIONAL JOURNAL OF WOMENS HEALTH
ISSN	1179-1411
出版年	2015
卷号	7 页码:949-955
英文摘要	Aim: To assess whether the introduction of episiotomy scissors specially designed to achieve a cutting angle of 60 degrees, EPISCISSORS-60((R)), in two hospitals in the UK would result in a reduction in obstetric anal sphincter injuries (OASIS) in nulliparous women. Methods: A structured training program for all doctors and midwives provided a theoretical framework around OASIS including risk factors and the role of episiotomies and a practical hands-on training element to use EPISCISSORS-60 (R) correctly and to measure perineal body length and post-suturing angles. Data for perineal body length, post-suturing angles, user feedback, episiotomy use, and incidence of OASIS were collected through specifically designed forms and the general hospital data collection system. Results: Data were available for 838 nulliparous vaginal deliveries. Mean perineal body length was 37 mm in spontaneous vaginal delivery group (standard deviation [SD] =8.3, 95% confidence interval [CI] =34-39) and 38 mm in the operative vaginal delivery group (SD=8, 95% CI=35-40). Post-suturing episiotomy angles were 53 degrees (SD=6.5, 95% CI=50.7-55.8) in spontaneous vaginal deliveries and 52 degrees (SD=9.6, 95% CI=49-54) in operative vaginal deliveries. EPISCISSORS-60 (R) were rated as "good" to "very good" by 84% of users. There was a 47% increase in the number of episiotomies in nulliparous spontaneous vaginal deliveries at Poole (P=0.007) and a 16.5% increase in the number of episiotomies in nulliparous operative vaginal deliveries in Hinchingbrooke (P=0.003). There was an overall 11% increase in episiotomy numbers in nulliparous vaginal deliveries (P=0.08). There was a statistically significant OASIS reduction of 84% in nulliparous spontaneous vaginal deliveries in women who received an episiotomy (P=0.003). Conclusion: Initial results after introduction of EPISCISSORS-60 (R) show that the majority of health care professionals achieve post-suturing episiotomy angles between 40 degrees and 60 degrees. The results also show a significant increase in the use of episiotomies in the delivery of nulliparous women. There has been a statistically significant reduction in OASIS in nulliparous spontaneous vaginal deliveries.
英文关键词	EPISCISSORS-60 (R) episiotomy obstetric anal sphincter injury perineal body length post-episiotomy suturing angle nulliparous women
类型	Article
语种	英语
开放获取类型	DOAJ Gold, Green Published
收录类别	ESCI
WOS记录号	WOS:000214750800101
WOS关键词	PERINEAL BODY LENGTH ; MEDIOLATERAL EPISIOTOMY ; LACERATIONS ; SCISSORS ; DELIVERY ; MIDLINE ; ANGLE
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/2XILL650/331032
作者单位	[van Roon, Yves; Kester, Nikki; Pathak, Sangeeta; Pradhan, Ashish] Hinchingbrooke Hosp, Dept Obstet & Gynecol, Hinchingbrooke Pk, Huntingdon PE29 6NT, England; [Kirwin, Ciara; Vinayakarao, Latha; Melson, Louise] Poole Hosp, Dept Obstet & Gynecol, Poole, Dorset, England; [Rahman, Nadia] Addenbrookes Hosp, Dept Obstet & Gynecol, Cambridge, England
推荐引用方式 GB/T 7714	van Roon, Yves,Kirwin, Ciara,Rahman, Nadia,et al. Comparison of obstetric anal sphincter injuries in nulliparous women before and after introduction of the EPISCISSORS-60 (R) at two hospitals in the United Kingdom[J],2015,7:949-955.
APA	van Roon, Yves.,Kirwin, Ciara.,Rahman, Nadia.,Vinayakarao, Latha.,Melson, Louise.,...&Pradhan, Ashish.(2015).Comparison of obstetric anal sphincter injuries in nulliparous women before and after introduction of the EPISCISSORS-60 (R) at two hospitals in the United Kingdom.INTERNATIONAL JOURNAL OF WOMENS HEALTH,7,949-955.
MLA	van Roon, Yves,et al."Comparison of obstetric anal sphincter injuries in nulliparous women before and after introduction of the EPISCISSORS-60 (R) at two hospitals in the United Kingdom".INTERNATIONAL JOURNAL OF WOMENS HEALTH 7(2015):949-955.