干旱区生态环境知识资源中心(Arid): Obstetrical anal sphincter injury and unnecessary episiotomy are both associated with anal incontinence 8 years after childbirth: A nationwide database analysis

Arid

DOI	10.1002/ijgo.14101
	Obstetrical anal sphincter injury and unnecessary episiotomy are both associated with anal incontinence 8 years after childbirth: A nationwide database analysis
	Levaillant, Mathieu; Legendre, Guillaume; Rebmann, Emeline, Jr.; Hamel, Jean-Francois; Venara, Aurelien
通讯作者	Venara, A
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2022
卷号	159 期号:1 页码:284-289
英文摘要	Objective To assess the relationship between anal incontinence (AI) 8 years after childbirth and the occurrence of obstetrical anal sphincter injuries (OASIS) and/or performance of an episiotomy during childbirth. Methods This is a nationwide database analysis performed on two national medico-administrative databases, including all the women aged 18 years or older who delivered infants in France in 2012. The main outcome measure was AI in the 8 years after delivery. Results Of the 163 443 perineal tears reported, 0.47% were grade 3 (n = 3173) and 0.08% were grade 4 (n = 579); 8938 women experienced AI (1.33%) and 261 women experienced severe AI (0.04%). Episiotomies performed in the absence of risk factors for OASIS were significantly associated with an increased risk of AI (odds ratio [OR] 1.59, 95% confidence interval [CI]1.49-1.69; P < 0.001). Grade 3 and 4 OASIS also significantly increased the risk of AI and severe AI. Mediolateral episiotomy was preventive of OASIS when performed in women at risk (OR 0.26, 95% CI 0.23-0.30; P < 0.001) but contributed to OASIS in the absence of risk (OR 2.18, 95% CI 1.98-2.40; P < 0.001). Conclusion OASIS present a risk factor for AI. Episiotomies could reduce the occurrence of OASIS, but they could also increase the risk of long-term AI in the absence of risk factors for OASIS.
英文关键词	episiotomy incontinence obstetrical anal sphincter injury postpartum risk factors
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000762346800001
WOS关键词	FECAL INCONTINENCE ; VAGINAL DELIVERY ; PREVALENCE ; ADULTS ; RISK
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/2XILL650/393189
推荐引用方式 GB/T 7714	Levaillant, Mathieu,Legendre, Guillaume,Rebmann, Emeline, Jr.,et al. Obstetrical anal sphincter injury and unnecessary episiotomy are both associated with anal incontinence 8 years after childbirth: A nationwide database analysis[J],2022,159(1):284-289.
APA	Levaillant, Mathieu,Legendre, Guillaume,Rebmann, Emeline, Jr.,Hamel, Jean-Francois,&Venara, Aurelien.(2022).Obstetrical anal sphincter injury and unnecessary episiotomy are both associated with anal incontinence 8 years after childbirth: A nationwide database analysis.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS,159(1),284-289.
MLA	Levaillant, Mathieu,et al."Obstetrical anal sphincter injury and unnecessary episiotomy are both associated with anal incontinence 8 years after childbirth: A nationwide database analysis".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 159.1(2022):284-289.