干旱区生态环境知识资源中心(Arid): Neonatal head circumference as a risk factor for obstetric anal sphincter injuries: a systematic review and meta-analysis

Arid

DOI	10.1016/j.ajogmf.2023.101047
	Neonatal head circumference as a risk factor for obstetric anal sphincter injuries: a systematic review and meta-analysis
	Raihan, Fatimah Sarah Mohd; Kusuma, Julianty; Nasution, Ahmad Azmi
通讯作者	Nasution, AA
来源期刊	AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
ISSN	2589-9333
出版年	2023
卷号	5 期号:8
英文摘要	OBJECTIVE: Between 53% and 79% of women will sustain some degree of perineal laceration during vaginal delivery. Third- and fourth-degree perineal lacerations are known as obstetric anal sphincter injuries. Timely diagnosis and prompt treatment of obstetric anal sphincter injuries can help to prevent the development of severe consequences like fecal incontinence, urinary incontinence, and rectovaginal fistula. Neonatal head circumference is routinely measured postpartum but is often not mentioned as a risk factor for obstetric anal sphincter injuries in clinical guidelines. Thus far, no review article on the risk factors for obstetric anal sphincter injuries has discussed the role of neonatal head circumference. This study aimed to review and analyze the relationship between head circumference and the occurrence of obstetric anal sphincter injuries among previous studies to conclude whether head circumference should be recognized as an important risk factor.DATA SOURCES: Through study screening on Google Scholar, PubMed, Scopus, and Science Direct for articles published between 2013 to 2023, followed by assessment of eligibility, this study ended up reviewing 25 studies, 17 of which were included in the meta-analysis.STUDY ELIGIBILITY CRITERIA: Only studies that reported both the neonatal head circumference and the occurrence of obstetric anal sphincter injuries were included in this review. METHODS: The included studies were appraised using the Dartmouth Library risk of bias assessment checklist. Qualitative synthesis was based on the study population, findings, adjusted confounding factors, and suggested causative links in each study. Quantitative synthesis was conducted using calculation and pooling of odds ratios and inverse variance using Review Manager 5.4.1.RESULTS: A statistically significant association between head circumference and obstetric anal sphincter injuries was reported in 21 of 25 studies; 4 studies reported that head circumference was a true independent risk factor. A meta-analysis of the studies that reported neonatal head circumference as a dichotomous categorical variable with a cutoff point of 35 +/- 1 cm yielded statistically significant pooled results (odds ratio, 1.92; 95% confidence interval, CONCLUSION: The risk for obstetric anal sphincter injuries increased as the neonatal head circumference increased-this should be considered in decision-making during labor and postpartum management to attain the best outcome.
英文关键词	delivery neonatal head circumference obstetric anal sphincter injuries parity status age Asian race diabetes
类型	Review
语种	英语
开放获取类型	hybrid
收录类别	SCI-E
WOS记录号	WOS:001032735000001
WOS关键词	TRANSPERINEAL ULTRASOUND ; BIRTH-WEIGHT ; EPISIOTOMY ; OASIS ; ASSOCIATION ; INCONTINENCE ; LACERATIONS ; PREVENTION ; MANAGEMENT ; ETHNICITY
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/2XILL650/395277
推荐引用方式 GB/T 7714	Raihan, Fatimah Sarah Mohd,Kusuma, Julianty,Nasution, Ahmad Azmi. Neonatal head circumference as a risk factor for obstetric anal sphincter injuries: a systematic review and meta-analysis[J],2023,5(8).
APA	Raihan, Fatimah Sarah Mohd,Kusuma, Julianty,&Nasution, Ahmad Azmi.(2023).Neonatal head circumference as a risk factor for obstetric anal sphincter injuries: a systematic review and meta-analysis.AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM,5(8).
MLA	Raihan, Fatimah Sarah Mohd,et al."Neonatal head circumference as a risk factor for obstetric anal sphincter injuries: a systematic review and meta-analysis".AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM 5.8(2023).