干旱区生态环境知识资源中心(Arid): Mode of delivery following obstetric anal sphincter injury: a 7-year retrospective review and follow-up cohort survey

Arid

DOI	10.1007/s00192-022-05294-3
	Mode of delivery following obstetric anal sphincter injury: a 7-year retrospective review and follow-up cohort survey
	Young, R.; Bates, L.; The, S.; King, J.
通讯作者	Young, R
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2022
卷号	33 期号:12 页码:3365-3369
英文摘要	Introduction and hypothesis Limited evidence exists regarding long-term outcomes following birth after prior obstetric anal sphincter injury (OASI). This article set out to describe outcomes following birth after OASI by reviewing the grades of tear, endoanal ultrasound (EAUS) findings, subsequent delivery outcomes and long-term symptoms. Methods This study was conducted in two parts. The first involved a retrospective review of all OASI at a tertiary hospital in Australia over 7 years (2013-2019 inclusive) where the patient underwent a subsequent delivery. Following this, a retrospective cohort survey of this group was performed. Results There were 27,284 vaginal births and 828 OASIs (3.03%); 247 (29.8%) had at least one subsequent birth by January 2021. Vaginal delivery occurred in 68%; recurrence of OASI was 5.4%. There were 90 responses (36.4%) to the follow-up survey. EAUS had been performed in 87.5%; none demonstrated a defect. Vaginal birth was the preferred mode for 77.8%; this occurred in 64%. The majority had high levels of satisfaction, this related to communication rather than the mode of delivery itself. Ongoing faecal or flatal incontinence was reported by 12%. There was no statistically significant difference in St Mark's incontinence scores between modes of birth. Conclusions In our unit most women who sustain OASI will have a subsequent vaginal delivery in future pregnancies. The majority remain asymptomatic at long-term follow-up with no statistically significant difference in incontinence scores regardless of mode of delivery. The rate of recurrent OASI was 5.4%.
英文关键词	Endoanal ultrasound OASI Subsequent birth
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000826804300001
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/393220
推荐引用方式 GB/T 7714	Young, R.,Bates, L.,The, S.,et al. Mode of delivery following obstetric anal sphincter injury: a 7-year retrospective review and follow-up cohort survey[J],2022,33(12):3365-3369.
APA	Young, R.,Bates, L.,The, S.,&King, J..(2022).Mode of delivery following obstetric anal sphincter injury: a 7-year retrospective review and follow-up cohort survey.INTERNATIONAL UROGYNECOLOGY JOURNAL,33(12),3365-3369.
MLA	Young, R.,et al."Mode of delivery following obstetric anal sphincter injury: a 7-year retrospective review and follow-up cohort survey".INTERNATIONAL UROGYNECOLOGY JOURNAL 33.12(2022):3365-3369.