Knowledge Resource Center for Ecological Environment in Arid Area
DOI | 10.1002/ijgo.14098 |
Can sonographic fetal head circumference measurement help predict obstetric anal sphincter injury? | |
Ortega, Marcus, V; Kim, Youngwu; Leung, Katherine; Weinstein, Milena; Leftwich, Heidi K. | |
通讯作者 | Ortega, MV (corresponding author),Massachusetts Gen Hosp, Dept Female Pelv Med & Reconstruct Surg, 55 Fruit St,Bulfinch Suite 205, Boston, MA 02114 USA. |
来源期刊 | INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS |
ISSN | 0020-7292 |
EISSN | 1879-3479 |
出版年 | 2022-02 |
英文摘要 | Objective To investigate whether sonographic fetal head circumference (sfHC) size assessed by ultrasound prenatally could help predict OASIS. Methods This study is a retrospective cohort study between 2005 and 2016. Antenatal sfHC assessment, maternal demographics, and labor and delivery data were abstracted and compared in women with and without OASIS. Results Of 2057 pregnant women that had sfHC assessment, 121 (5.8%) had OASIS. In the unadjusted analysis, sfHC above the 90th centile was associated with OASIS (odds ratio [OR] 1.12; 95% confidence interval [CI] 1.02-1.23; P = 0.015). When adjusted for gestational age at delivery, maternal age, race, prolonged second stage, body mass index, infant gender, and intrapartum oxytocin use, sfHC above the 90th centile remained significantly associated with OASIS (OR 1.13, 95% CI 1.00-1.27, P = 0.050). Conclusion In our cohort, sfHC above the 90th centile was associated with a greater risk of OASIS. As OASIS significantly impacts both short-term and long-term health outcomes, such as perineal pain, dyspareunia, and urinary and fecal incontinence, sfHC could be an additional prenatal marker to help clinicians counsel pregnant women about the risk of OASIS. |
英文关键词 | anal sphincter injury fecal incontinence pelvic floor urinary incontinence |
类型 | Article ; Early Access |
语种 | 英语 |
收录类别 | SCI-E |
WOS记录号 | WOS:000761959000001 |
WOS关键词 | RISK-FACTORS ; INCONTINENCE ; 3RD-DEGREE ; DELIVERY ; LACERATIONS ; RUPTURE |
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/2XILL650/377316 |
作者单位 | [Ortega, Marcus, V; Kim, Youngwu; Weinstein, Milena] Massachusetts Gen Hosp, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Boston, MA 02114 USA; [Leung, Katherine; Leftwich, Heidi K.] Univ Massachusetts Mem Hlth Care, Dept Obstet & Gynecol, Worcester, MA USA; [Leftwich, Heidi K.] Univ Massachusetts Mem Hlth Care, Div Maternal Fetal Med, Worcester, MA USA |
推荐引用方式 GB/T 7714 | Ortega, Marcus, V,Kim, Youngwu,Leung, Katherine,et al. Can sonographic fetal head circumference measurement help predict obstetric anal sphincter injury?[J],2022. |
APA | Ortega, Marcus, V,Kim, Youngwu,Leung, Katherine,Weinstein, Milena,&Leftwich, Heidi K..(2022).Can sonographic fetal head circumference measurement help predict obstetric anal sphincter injury?.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS. |
MLA | Ortega, Marcus, V,et al."Can sonographic fetal head circumference measurement help predict obstetric anal sphincter injury?".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2022). |
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