干旱区生态环境知识资源中心(Arid): Severe Perineal Trauma in a Brazilian Southeastern Tertiary Hospital: A Retrospective Cohort Study

Arid

DOI	10.1097/SPV.0000000000000910
	Severe Perineal Trauma in a Brazilian Southeastern Tertiary Hospital: A Retrospective Cohort Study
	Nobrega, Marina Augusto; Pereira, Glaucia Miranda Varella; Brito, Luiz Gustavo Oliveira; Luz, Adriana Gomes; Lajos, Giuliane Jesus
通讯作者	Brito, LGO (corresponding author), Univ Estadual Campinas, Sch Med Sci, Dept Obstet & Gynecol, Campinas, Brazil.
来源期刊	FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
ISSN	2151-8378
EISSN	2154-4212
出版年	2021
卷号	27 期号:2 页码:e301-e305
英文摘要	Objective This study aimed to investigate the prevalence of severe perineal trauma (obstetric and anal sphincter injury [OASIS]) in a tertiary high-risk pregnancy facility and the associated factors. Methods A retrospective electronic chart review on perineal lacerations was performed from the period of April 2017 to February 2019. Obstetric and anal sphincter injury was diagnosed by a rectal examination. Primary outcome was the prevalence of OASIS (third- and fourth-degree perineal tear). Independent variables were maternal, intrapartum, and neonatal characteristics. Univariate and multivariate analyses with logistic regression models were performed. A P value lower than 0.05 was considered significant. Results The prevalence of OASIS (third/fourth-degree laceration) was 1.51% (43/2846) in our population. Our population was mostly white (66.3%) and mostly primiparous (52.1%). By comparison, the prevalence of first/second-degree laceration was 43% (1223/2846). Selective episiotomy occurred in 18.73% (517/2761) of patients, and it was not associated with OASIS (P = 0.211). Advanced maternal age (P = 0.196), higher number of vaginal examinations (P = 0.169), fetal presentation (P = 0.533), and duration of second stage (P = 0.757) were not associated with OASIS. Univariate analysis has found that forceps delivery (odds ratio [OR], 3.68 [1.74-7.79]; P = 0.001), neonatal macrossomy (OR, 3.42 [1.02-11.43]; P = 0.045), and larger head circumference (OR, 1.15 [1.02-1.32]; P = 0.026) were risk factors for OASIS, whereas higher gravidity reduced the risk (OR, 0.61 [0.42-0.91] for OASIS. However, after multivariate analysis, only head circumference (OR, 1.86 [1.10-3.14]; P = 0.020) remained as a risk factor. Conclusions Larger neonatal head circumference increased in 86% the risk for severe perineal trauma in this cohort of women.
英文关键词	perineal trauma OASIS cross-sectional study head circumference
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000618328300021
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/2XILL650/350212
作者单位	[Nobrega, Marina Augusto; Pereira, Glaucia Miranda Varella; Brito, Luiz Gustavo Oliveira; Luz, Adriana Gomes; Lajos, Giuliane Jesus] Univ Estadual Campinas, Sch Med Sci, Dept Obstet & Gynecol, Campinas, Brazil
推荐引用方式 GB/T 7714	Nobrega, Marina Augusto,Pereira, Glaucia Miranda Varella,Brito, Luiz Gustavo Oliveira,et al. Severe Perineal Trauma in a Brazilian Southeastern Tertiary Hospital: A Retrospective Cohort Study[J],2021,27(2):e301-e305.
APA	Nobrega, Marina Augusto,Pereira, Glaucia Miranda Varella,Brito, Luiz Gustavo Oliveira,Luz, Adriana Gomes,&Lajos, Giuliane Jesus.(2021).Severe Perineal Trauma in a Brazilian Southeastern Tertiary Hospital: A Retrospective Cohort Study.FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY,27(2),e301-e305.
MLA	Nobrega, Marina Augusto,et al."Severe Perineal Trauma in a Brazilian Southeastern Tertiary Hospital: A Retrospective Cohort Study".FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY 27.2(2021):e301-e305.