干旱区生态环境知识资源中心(Arid): Post-repair laxative management in obstetric anal sphincter injury guidelines: A narrative review

Arid

DOI	10.1111/ajo.13594
	Post-repair laxative management in obstetric anal sphincter injury guidelines: A narrative review
	Tucker, Julie; Hassam, Tayla; Juszczyk, Karolina; Briley, Annette; Parange, Anupam; Murphy, Elizabeth Mary Anne
通讯作者	Tucker, J
来源期刊	AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY
ISSN	0004-8666
EISSN	1479-828X
出版年	2023
卷号	63 期号:2 页码:204-211
英文摘要	Background Childbirth is a common factor which increases the risk of obstetric anal sphincter injuries (OASIS). Damage to the anal sphincters increases the risk of anal incontinence, which has a debilitating impact on the quality of life. Post-repair laxatives are prescribed in this group of women. However, there is no consensus regarding the type or frequency with which they are used, and available guidelines lack consistency and evidence to support the recommendations. Aim The aim was to review and compare the international, national and local Australian management guidelines for recommendations regarding laxative use in women after OASIS. Method An online literature search of medical and nursing databases such as PubMed, Embase, MEDLINE, CINAHL, Web of Science, Scopus and Cochrane was performed between January 2000 and October 2020. Full-text articles with MeSH headings and Text Words [TW] identified guidelines in the prevention, management and care of OASIS. The search terms included 'obstetric anal sphincter injury', 'OASIS', 'perineal tear', 'postpartum continence', 'bowel injury', 'aperient', 'laxative use' and 'bulking agents'. Results Thirteen guidelines were included. Laxatives were recommended in most guidelines; however, there was a lack of consistency regarding the type of laxative used, frequency, dose and duration of use. Guidelines were based on historical evidence, with paucity of recently acquired data identified. Conclusions There is no consensus regarding an optimal laxative regime for women who sustain an anal sphincter injury after childbirth. Further research is required to develop evidence-based robust clinical guidelines regarding laxative use in women who sustain OASIS.
英文关键词	guideline laxative obstetric anal sphincter injury osmotic laxative stool softener
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000840464200001
WOS关键词	CLINICAL-TRIAL ; INCONTINENCE ; LACERATIONS ; PREVENTION
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/2XILL650/395523
推荐引用方式 GB/T 7714	Tucker, Julie,Hassam, Tayla,Juszczyk, Karolina,et al. Post-repair laxative management in obstetric anal sphincter injury guidelines: A narrative review[J],2023,63(2):204-211.
APA	Tucker, Julie,Hassam, Tayla,Juszczyk, Karolina,Briley, Annette,Parange, Anupam,&Murphy, Elizabeth Mary Anne.(2023).Post-repair laxative management in obstetric anal sphincter injury guidelines: A narrative review.AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY,63(2),204-211.
MLA	Tucker, Julie,et al."Post-repair laxative management in obstetric anal sphincter injury guidelines: A narrative review".AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY 63.2(2023):204-211.