干旱区生态环境知识资源中心(Arid): Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study

Arid

DOI	10.1155/2018/6345497
	Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study
	Ali-Masri, Hadil Y.; Hassan, Sahar J.; Zimmo, Kaled M.; Zimmo, Mohammed W.; Ismail, Khaled M. K.; Fosse, Erik; Alsalman, Hasan; Vikanes, Ase; Laine, Katariina
通讯作者	Ali-Masri, HY
来源期刊	OBSTETRICS AND GYNECOLOGY INTERNATIONAL
ISSN	1687-9589
EISSN	1687-9597
出版年	2018
卷号	2018
英文摘要	Episiotomy should be cut at certain internationally set criteria to minimize risk of obstetric anal sphincter injuries (OASIS) and anal incontinence. The aim of this study was to assess the accuracy of cutting right mediolateral episiotomy (RMLE). An institution-based prospective cohort study was undertaken in a Palestinian maternity unit from February 1, to December 31, 2016. Women having vaginal birth at gestational weeks >= 24 or birthweight >= 1000 g and with intended RMLE were eligible (n = 240). Transparent plastic films were used to trace sutured episiotomy in relation to the midline within 24-hour postpartum. These were used to measure incisions' distance from midline, and suture angles were used to classify the incisions into RMLE, lateral, and midline episiotomy groups. Clinical characteristics and association with OASIS were compared between episiotomy groups. A subanalysis by profession (midwife or trainee doctor) was done. Less than 30% were RMLE of which 59% had a suture angle of <40 degrees (equivalent to an incision angle of <60 degrees). There was a trend of higher OASIS rate, but not statistically significant, in the midline (16%, OR: 1.7, CI: 0.61-4.5) and unclassified groups (16.5%, OR: 1.8, CI: 0.8-4.3) than RMLE and lateral groups (10%). No significant differences were observed between episiotomies cut by doctors and midwives. Most of the assessed episiotomies lacked the agreed criteria for RMLE and had less than optimal incision angle which increases risk of severe complications. A well-structured training program on how to cut episiotomy is recommended.
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:000449940500001
WOS关键词	ANAL-SPHINCTER INJURIES ; MEDIOLATERAL EPISIOTOMY ; ANGLE ; GUIDELINES ; HOSPITALS
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
Scopus学科分类	Oslo Univ Hosp, Intervent Ctr, Rikshosp, N-4950 Nydalen, Norway. ; Ali-Masri, HY
CSCD记录号	CSCD:Univ Oslo, Fac Med, Inst Clin Med, N-1171 Blindern, Norway.
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/333070
作者单位	[Ali-Masri, Hadil Y.; Alsalman, Hasan] Palestine Med Complex, Dept Obstet, Ramallah, Palestine; [Ali-Masri, Hadil Y.; Zimmo, Kaled M.; Zimmo, Mohammed W.; Fosse, Erik; Vikanes, Ase] Oslo Univ Hosp, Intervent Ctr, Rikshosp, N-4950 Nydalen, Norway; [Ali-Masri, Hadil Y.; Zimmo, Kaled M.; Zimmo, Mohammed W.; Fosse, Erik] Univ Oslo, Fac Med, Inst Clin Med, N-1171 Blindern, Norway; [Hassan, Sahar J.] Birzeit Univ, Fac Pharm Nursing & Hlth Profess, Birzeit Box14, Ramallah, Palestine; [Zimmo, Kaled M.] Al Aqsa Martyrs Hosp, Dept Obstet, Gaza, State Of Palest, Israel; [Zimmo, Mohammed W.] Al Shifa Hosp, Dept Obstet, Gaza, State Of Palest, Israel; [Ismail, Khaled M. K.] Ain Shams Univ, Fac Med, Dept Obstet & Gynaecol, Cairo, Egypt; [Laine, Katariina] Oslo Univ Hosp, Dept Obstet, N-0424 Oslo, Norway; [Laine, Katariina] Univ Oslo, Inst Hlth & Soc, Dept Hlth Management & Hlth Econ, Oslo, Norway
推荐引用方式 GB/T 7714	Ali-Masri, Hadil Y.,Hassan, Sahar J.,Zimmo, Kaled M.,et al. Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study[J],2018,2018.
APA	Ali-Masri, Hadil Y..,Hassan, Sahar J..,Zimmo, Kaled M..,Zimmo, Mohammed W..,Ismail, Khaled M. K..,...&Laine, Katariina.(2018).Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study.OBSTETRICS AND GYNECOLOGY INTERNATIONAL,2018.
MLA	Ali-Masri, Hadil Y.,et al."Evaluation of Accuracy of Episiotomy Incision in a Governmental Maternity Unit in Palestine: An Observational Study".OBSTETRICS AND GYNECOLOGY INTERNATIONAL 2018(2018).