干旱区生态环境知识资源中心(Arid): Classification and evaluation of episiotomy practices from 2004 to 2020 and association with OASIS

Arid

DOI	10.1002/ijgo.14091
	Classification and evaluation of episiotomy practices from 2004 to 2020 and association with OASIS
	Morgan, Rosemary; Korb, Diane; Sibony, Olivier
通讯作者	Morgan, R
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2022
英文摘要	Objective To apply a new classification based on seven clinically relevant subgroups to accurately describe episiotomy practices and evaluate the association between episiotomy and obstetrical anal sphincter injury (OASIS) rates according to the classification's subgroups. Methods Observational retrospective cohort study based on a population comprising 39 487 women from January 1, 2004 to December 31, 2020 in a level III university maternity unit. The primary outcome was the overall episiotomy rate in the institution and its trend over time as well as in each subgroup of obstetrical population classification. Secondary outcome was the rate of third- and fourth-degree OASIS, and its association with episiotomy practice. Results The episiotomy rate decreased significantly from 43.2% to 20% in the total population. The overall OASIS rate was 0.34%; it remained significantly the same during the study period, although the association between OASIS and episiotomy was significant only in group 2 (nulliparous women with instrumental delivery) with a decrease of OASIS rate if using episiotomy (odds ratio 0.5; 95% confidence interval 0.3-0.8). Conclusion The episiotomy rate can be decreased without exposing women to an increased risk of OASIS. This encourages restrictive practice of episiotomy, but episiotomy should be considered in nulliparous women with instrumental delivery.
英文关键词	episiotomy instrumental delivery nulliparous obstetrical anal sphincter injuries vaginal delivery
类型	Article ; Early Access
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000750974600001
WOS关键词	ANAL-SPHINCTER INJURY ; MEDIOLATERAL EPISIOTOMY ; PERINEAL TEARS ; RISK ; DELIVERY ; FRANCE
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/2XILL650/377345
推荐引用方式 GB/T 7714	Morgan, Rosemary,Korb, Diane,Sibony, Olivier. Classification and evaluation of episiotomy practices from 2004 to 2020 and association with OASIS[J],2022.
APA	Morgan, Rosemary,Korb, Diane,&Sibony, Olivier.(2022).Classification and evaluation of episiotomy practices from 2004 to 2020 and association with OASIS.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS.
MLA	Morgan, Rosemary,et al."Classification and evaluation of episiotomy practices from 2004 to 2020 and association with OASIS".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2022).