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DOI	10.31083/j.ceog4806201
	Risk factors for obstetric anal sphincter injuries during vaginal delivery: can we reduce the burden?
	Porcari, Irene; Garzon, Simone; Loreti, Sara; Bosco, Mariachiara; Di Paola, Rossana; Pomini, Paola; Raffaelli, Ricciarda; Leopardi, Fulvio; Uccella, Stefano; Franchi, Massimo; Zorzato, Pier Carlo
通讯作者	Garzon, S (corresponding author), Univ Verona, Dept Obstet & Gynecol, I-37126 Verona, Italy.
来源期刊	CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY
ISSN	0390-6663
EISSN	2709-0094
出版年	2021
卷号	48 期号:6 页码:1267-1272
英文摘要	Background: Third- and fourth-degree perineal tears are associated with significant discomfort and impact on women's quality of life after labor. We reviewed the literature on risk factors for obstetric anal sphincter injuries (OASIS), focusing on modifiable risk factors for OASIS to help obstetricians prevent them. Methods: We searched Cochrane Database of Systematic Reviews, and Scopus using key search terms. We selected clinical studies, systematic reviews, and meta-analyses in English investigating antepartum and intrapartum factors associated with OASIS. Three researchers independently selected studies and documented outcomes. Results: We identified forty-two relevant articles for inclusion. Among antepartum factors, primiparity, neonatal birth weight, and ethnicity were associated with a higher risk of OASIS. Instrumental delivery, midline episiotomy, duration of the second stage of labor, persistent occiput posterior position, and labor augmentation were those intrapartum factors reported associated with OASIS. Conclusions: Multiple anteand intrapartum factors are associated with a higher risk of OASIS. The actual modifiable factor is episiotomy during the second stage of labor. However, literature reporting episiotomy associated with a reduction in OASIS prevalence during instrumental delivery is limited. gation on the role of episiotomy in an operative delivery.
英文关键词	Obstetric anal sphincter injury OASIS Perineal tears Obstetric trauma Epi-siotomy
类型	Review
语种	英语
开放获取类型	gold
收录类别	SCI-E
WOS记录号	WOS:000734436200004
WOS关键词	OCCIPUT POSTERIOR POSITION ; PELVIC FLOOR MORBIDITY ; PERINEAL TRAUMA ; INSTRUMENTAL DELIVERY ; EXPECTANT MANAGEMENT ; NEONATAL MORBIDITY ; LABOR INDUCTION ; EPISIOTOMY ; 2ND-STAGE ; IMPACT
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/2XILL650/374132
作者单位	[Porcari, Irene; Garzon, Simone; Loreti, Sara; Bosco, Mariachiara; Di Paola, Rossana; Pomini, Paola; Raffaelli, Ricciarda; Uccella, Stefano; Franchi, Massimo; Zorzato, Pier Carlo] Univ Verona, Dept Obstet & Gynecol, I-37126 Verona, Italy; [Leopardi, Fulvio] Univ Verona, Dept Surg, I-37126 Verona, Italy
推荐引用方式 GB/T 7714	Porcari, Irene,Garzon, Simone,Loreti, Sara,et al. Risk factors for obstetric anal sphincter injuries during vaginal delivery: can we reduce the burden?[J],2021,48(6):1267-1272.
APA	Porcari, Irene.,Garzon, Simone.,Loreti, Sara.,Bosco, Mariachiara.,Di Paola, Rossana.,...&Zorzato, Pier Carlo.(2021).Risk factors for obstetric anal sphincter injuries during vaginal delivery: can we reduce the burden?.CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY,48(6),1267-1272.
MLA	Porcari, Irene,et al."Risk factors for obstetric anal sphincter injuries during vaginal delivery: can we reduce the burden?".CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY 48.6(2021):1267-1272.