干旱区生态环境知识资源中心(Arid): Obstetric anal sphicnter injury in a Spanish hospital

Arid

DOI	10.1016/j.ejogrb.2020.08.032
	Obstetric anal sphicnter injury in a Spanish hospital
	Gomez-Cedillo, A.; Nieto, S.; Isla, R.; Villegas, Y.; Munoz, E.
通讯作者	Gomez-Cedillo, A (corresponding author), Hosp Univ Severo Ochoa Leganes, Madrid, Spain.
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2020
卷号	255 页码:242-246
英文摘要	Objective: Estimation of the prevalence of obstetric anal sphincter injury (OASIS) in our environment and study of the associated risk factors. Study desing: A retrospective observational study of cases and controls of assisted deliveries at the Severo Ochoa University Hospital of Leganes during the period from January 1, 2012, to December 31, 2017. A total of 88 OASIS diagnosed in the study period is compared with a randomly selected group of 181 controls of similar characteristics, vaginal births of cephalic of 36 weeks gestation or more, occurring during the same period. Results: During the study period, a total of 8160 deliveries were attended in our hospital, of which 6187 were vaginal and we diagnosed a total of 88 OASIS at the time of delivery. The prevalence of OASIS is 1.07 % for total births and 1.42 % for total vaginal deliveries. In the case-control study, the univariate analysis shows statistical significance for nulliparity (OR 3.84; 95 % CI 2.155-6.834; p <0.001), instrumental delivery (OR 8.73; 95 % CI 4.706-16.2016; p <0.001), occipital posterior position (OR 7.23; 95 % CI 2.535-20.633; p <0.001), long duration of the second stage of labor (OR 1.99; IC 95 % 1,159-3,438; p 0.01), episiotomy (OR 3.51; 95 % CI 1,956-6,309; p <0.001) and OBGYN labor assistant (<0.001). When performing the multivariate analysis, forceps delivery (OR19.68), Thierry spatulas delivery (OR 8.15), vacuum delivery (OR 2.74), nulliparity (OR 2.56) and fetal weight in grams (OR 1.12) remain significant in the final model. Conclusion: The main risk factors for the onset of OASIS are instrumental delivery, nulliparity and fetal birth weight. (C) 2020 Elsevier B.V. All rights reserved.
英文关键词	Obstetric anal sphincter injury Instrumental delivery Parity Training in obstetrics Risk factors
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000600628600038
WOS关键词	SPHINCTER INJURIES ; RISK-FACTORS ; MEDIOLATERAL EPISIOTOMY ; PRIMIPAROUS WOMEN ; 3RD-DEGREE ; DELIVERY ; MIDWIFE ; RATES
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/348840
作者单位	[Gomez-Cedillo, A.; Nieto, S.; Isla, R.; Villegas, Y.; Munoz, E.] Hosp Univ Severo Ochoa Leganes, Madrid, Spain
推荐引用方式 GB/T 7714	Gomez-Cedillo, A.,Nieto, S.,Isla, R.,et al. Obstetric anal sphicnter injury in a Spanish hospital[J],2020,255:242-246.
APA	Gomez-Cedillo, A.,Nieto, S.,Isla, R.,Villegas, Y.,&Munoz, E..(2020).Obstetric anal sphicnter injury in a Spanish hospital.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,255,242-246.
MLA	Gomez-Cedillo, A.,et al."Obstetric anal sphicnter injury in a Spanish hospital".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 255(2020):242-246.