干旱区生态环境知识资源中心(Arid): Factors that influence pregnant women's decision on mode of delivery after previous obstetric anal sphincter injury

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DOI	10.1016/j.ejogrb.2022.11.024
	Factors that influence pregnant women's decision on mode of delivery after previous obstetric anal sphincter injury
	Narice, Brenda F.; Marks, Kylie; Jha, Swati
通讯作者	Jha, S
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2023
卷号	281 页码:32-35
英文摘要	Purpose: Maternal request for caesarean section (CS) is increasing. One common reason is following a previous obstetric anal sphincter injury (OASI). We aim to understand which factors bear the greatest influence in driving this women's decision-making process once they are pregnant after having sustained an OASI.Methods: Pregnant women with a previous OASIS who were attending their first antenatal appointment were deemed eligible and were asked to complete two questionnaires on their preferred mode of delivery (MoD) and ongoing pelvic floor symptomatology. Data were analysed with descriptive and inferential statistics using SPSS, and results were presented both quanti-and qualitatively. Results: Data from 63 participants was included in the final analysis. Most women had experienced 3A/3B OASIS (n = 49, 77.78 %), and they were more likely to report bladder pain and difficulties with voiding than those with major tears (p < 0.05). The type of tear did not impact directly on the preferred MoD. However, women still experiencing bladder pain were more likely to request a CS (p < 0.05). Even though all participants who attended a perineal trauma clinic postpartum found it helpful, they reported that ultimately the decision on how to deliver was theirs, and their ideas and concerns played the greatest influence.Conclusion: Pregnant women with ongoing urinary symptoms rather than sexual or bowel dysfunction seem to favour a planned CS, regardless of the severity of their previous tear. Postpartum follow-up in a perineal trauma clinic is extremely valuable but even more is the need to understand women's motivations to support them make an informed decision.
英文关键词	Anal sphincter injury Pregnancy Mode of delivery Caesarean section Vaginal birth
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000906582400001
WOS关键词	SYMPTOMS ; OASIS
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/396327
推荐引用方式 GB/T 7714	Narice, Brenda F.,Marks, Kylie,Jha, Swati. Factors that influence pregnant women's decision on mode of delivery after previous obstetric anal sphincter injury[J],2023,281:32-35.
APA	Narice, Brenda F.,Marks, Kylie,&Jha, Swati.(2023).Factors that influence pregnant women's decision on mode of delivery after previous obstetric anal sphincter injury.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,281,32-35.
MLA	Narice, Brenda F.,et al."Factors that influence pregnant women's decision on mode of delivery after previous obstetric anal sphincter injury".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 281(2023):32-35.