干旱区生态环境知识资源中心(Arid): Documenting Perineal and Obstetrical Anal Sphincter Injury Care at Childbirth: A Cross-Sectional Study

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DOI	10.1016/j.jogc.2021.02.120
	Documenting Perineal and Obstetrical Anal Sphincter Injury Care at Childbirth: A Cross-Sectional Study
	Gong, Merry; Mann, Gurkiran K.; Koenig, Nicole; Geoffrion, Roxana
通讯作者	Gong, M (corresponding author), Univ British Columbia, Fac Med, Dept Obstet & Gynaecol, Vancouver, BC, Canada.
来源期刊	JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA
ISSN	1701-2163
出版年	2021
卷号	43 期号:10 页码:1164-1169
英文摘要	Objective: This study evaluates whether maternity care providers document guideline-based recommendations for the prevention and care of obstetrical anal sphincter injuries (OASIS) for their labour and delivery patients. Methods: We performed a cross-sectional study, aiming for a convenience sample of 60 primiparous women, over 19 years of age, equally representative of patients who experienced severe (third-and fourth-degree) and minimal (intact or first-degree) tears during vaginal birth. Information on patient demographics, delivery details, and guideline-endorsed preventative and management measures were collected. Descriptive statistics were used when appropriate. Results: We enrolled a total of 73 women, 34 of whom had severe tears and 39 of whom had minimal tears. Preventative measures, including fetal head control and perineal support during delivery, were documented for 1 out of 73 patients. The use of perineal massage and warm compress to the perineum was not documented. A rectal exam after delivery was documented for 30% (22/73) of all patients and 62% (21/34) of patients with OASIS. Sixty-five percent (22/34) of patients with OASIS received intravenous antibiotics, 88% (30/34) received laxatives, and 100% received nonsteroidal anti-inflammatory drugs. Post-void residual was not documented for any patients. Patients recalled being informed about their OASIS in 68% (23/34) of cases and being referred to pelvic physiotherapy in 47% (16/34) of cases. Conclusion: In our study, perineal care practices during and after childbirth, as detailed in the national OASIS guideline, were incompletely documented. This may indicate partial guideline adherence or suboptimal medical record-keeping.
英文关键词	obstetric labor complications guideline adherence lacerations fecal incontinence medical records
类型	Article
语种	英语
收录类别	ESCI
WOS记录号	WOS:000709715200010
WOS关键词	CHECKLIST
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/2XILL650/374315
作者单位	[Gong, Merry; Mann, Gurkiran K.; Koenig, Nicole; Geoffrion, Roxana] Univ British Columbia, Fac Med, Dept Obstet & Gynaecol, Vancouver, BC, Canada
推荐引用方式 GB/T 7714	Gong, Merry,Mann, Gurkiran K.,Koenig, Nicole,et al. Documenting Perineal and Obstetrical Anal Sphincter Injury Care at Childbirth: A Cross-Sectional Study[J],2021,43(10):1164-1169.
APA	Gong, Merry,Mann, Gurkiran K.,Koenig, Nicole,&Geoffrion, Roxana.(2021).Documenting Perineal and Obstetrical Anal Sphincter Injury Care at Childbirth: A Cross-Sectional Study.JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA,43(10),1164-1169.
MLA	Gong, Merry,et al."Documenting Perineal and Obstetrical Anal Sphincter Injury Care at Childbirth: A Cross-Sectional Study".JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 43.10(2021):1164-1169.