干旱区生态环境知识资源中心(Arid): Obstetric anal sphincter injury events prior and after Episcissors-60 implementation: A systematic review and meta-analysis

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DOI	10.1016/j.ejogrb.2021.08.030
	Obstetric anal sphincter injury events prior and after Episcissors-60 implementation: A systematic review and meta-analysis
	Kastora, Stavroula; Kounidas, Georgios; Triantafyllidou, Olga
通讯作者	Kastora, S (corresponding author), Univ Aberdeen, Inst Med Sci, Sch Med Med Sci & Nutr, Aberdeen AB25 2ZD, Scotland.
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2021
卷号	265 页码:175-180
英文摘要	Objective: To assess the effect of Episcissors-60 upon obstetric anal sphincter injuries (OASIS) reduction in nulliparous women. Study design: Independent literature search for relevant studies was performed up to 30th May 2021 on five databases: Embase (OVID), MEDLINE (R) (OVID), CAB Abstracts (OVID), ClinicalTrials.gov, and Google Scholar. The primary outcome was to assess OASIS events prior and after Epi-60 implementation in clin-ical practice in natural births (NB), whilst secondary outcomes included overall operative vaginal delivery (OVD) %/spontaneous vaginal deliveries (SVD) % deliveries, episiotomy rates and operator satisfaction. All included studies (retrospective, prospective and time-series) examined the effect of Episcissors-60 imple-mentation upon observed OASIS %. Results: A total of 14,027 nulliparous females were included in the meta-analysis. Overall, study hetero-geneity was high at I2: 79% with collectively fair quality of studies, as assessed by the Newcastle-Ottawa scale. Overall, this analysis highlights significant differences of OASIS events that might suggest their implementation as standard practice [RD-0.02, 95% CI-0.03 to 0.00; P = 0.03]. Conclusion: The present analysis highlights significant differences of OASIS events pre-and post-Epi-60, that may suggest Episcissors-60 implementation as standard practice. Nonetheless, to ensure data integ-rity, well reported observational studies and robust randomized controlled trials (RCTs) are required prior to introduction of Epi-60 as standard episiotomy technique in clinical practice. (c) 2021 Elsevier B.V. All rights reserved.
英文关键词	Episcissors-60 Episiotomy Obstetric anal sphincter injuries Operative vaginal delivery Spontaneous vaginal delivery
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000702902800027
WOS关键词	MEDIOLATERAL EPISIOTOMY ; ANGLE ; SCISSORS ; REDUCE
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/2XILL650/363210
作者单位	[Kastora, Stavroula; Kounidas, Georgios] Univ Aberdeen, Inst Med Sci, Sch Med Med Sci & Nutr, Aberdeen AB25 2ZD, Scotland; [Triantafyllidou, Olga] Univ Athens, Aretaie Hosp, Dept Obstet & Gynaecol 2, Attica, Greece
推荐引用方式 GB/T 7714	Kastora, Stavroula,Kounidas, Georgios,Triantafyllidou, Olga. Obstetric anal sphincter injury events prior and after Episcissors-60 implementation: A systematic review and meta-analysis[J],2021,265:175-180.
APA	Kastora, Stavroula,Kounidas, Georgios,&Triantafyllidou, Olga.(2021).Obstetric anal sphincter injury events prior and after Episcissors-60 implementation: A systematic review and meta-analysis.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,265,175-180.
MLA	Kastora, Stavroula,et al."Obstetric anal sphincter injury events prior and after Episcissors-60 implementation: A systematic review and meta-analysis".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 265(2021):175-180.