干旱区生态环境知识资源中心(Arid): Influence of previous delivery mode on perineal trauma risk

Arid

DOI	10.1002/ijgo.14218
	Influence of previous delivery mode on perineal trauma risk
	Thorne, Elizabeth P. C.; Durnea, Constantin M.; Sedgwick, Philip M.; Doumouchtsis, Stergios K.
通讯作者	Doumouchtsis, SK
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2022
卷号	159 期号:3 页码:757-763
英文摘要	Objective To evaluate the impact of a previous pregnancy and delivery on perineal trauma rates in the subsequent vaginal birth. Methods Retrospective cohort study. The perineal outcomes of secundiparous women with history of previous (first) delivery in one of three categories: failed operative vaginal delivery (FOVD) and second-stage emergency cesarean section (EmCS); elective cesarean section (ElCS), and vaginal delivery (VD) with intact perineum, were compared with a control primiparous group. Results The percentage obstetric anal sphincter injuries (OASIS)at first vaginal delivery was 17.3% (n = 9) after previous FOVD+EmCS, 12.9% (n = 18) after previous ElCS, and 0.6% (n = 9) after previous VD maintaining an intact perineum, compared with 6% (n = 1193) in the control primiparous group of women. Multivariate regression analysis demonstrated that previous FOVD+EmCS and ElCS were associated with a statistically significant increased risk of OASIS of 180% and 110% when compared with control (odds ratio [OR] 2.80; 95% confidence interval [CI] 1.35-5.78 and OR 2.10; 95% CI 1.27-3.48, respectively). Previous VD with intact perineum was associated with a statistically significantly reduced risk of OASIS (OR 0.09; 95% CI 0.04-0.17). Conclusions Previous FOVD+EmCS and ElCS were associated with increased risk of OASIS in subsequent vaginal delivery compared with control, whereas previous VD with intact perineum was associated with decreased risk.
英文关键词	cesarean section obstetric anal sphincter injuries perineal tear previous mode of delivery risk factors vaginal birth after cesarean
类型	Article
语种	英语
开放获取类型	hybrid, Green Accepted, Green Published
收录类别	SCI-E
WOS记录号	WOS:000798524900001
WOS关键词	ANAL-SPHINCTER INJURIES ; WOMENS EXPERIENCES ; VAGINAL DELIVERY
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/2XILL650/393191
推荐引用方式 GB/T 7714	Thorne, Elizabeth P. C.,Durnea, Constantin M.,Sedgwick, Philip M.,et al. Influence of previous delivery mode on perineal trauma risk[J],2022,159(3):757-763.
APA	Thorne, Elizabeth P. C.,Durnea, Constantin M.,Sedgwick, Philip M.,&Doumouchtsis, Stergios K..(2022).Influence of previous delivery mode on perineal trauma risk.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS,159(3),757-763.
MLA	Thorne, Elizabeth P. C.,et al."Influence of previous delivery mode on perineal trauma risk".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 159.3(2022):757-763.