干旱区生态环境知识资源中心(Arid): Trends in obstetric anal sphincter injury in spontaneous vaginal delivery versus operative vaginal delivery over a 10-year period: Lessons learned

Arid

DOI	10.1002/ijgo.14877
	Trends in obstetric anal sphincter injury in spontaneous vaginal delivery versus operative vaginal delivery over a 10-year period: Lessons learned
	Alkharouf, Feras; Joyce, Niamh; Ward, Deidre; Walsh, Fiona; Eogan, Maeve; Geary, Michael
通讯作者	Joyce, N
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2023
卷号	163 期号:3 页码:888-893
英文摘要	ObjectiveTo evaluate trends in the incidence of women with obstetric anal sphincter injuries (OASIS) over a 10-year period comparing spontaneous vaginal delivery (SVD) and operative vaginal delivery (OVD). MethodsA retrospective study was performed in which all women who underwent vaginal delivery over a 10-year period (n = 86 242, 2009-2018) at the Rotunda Hospital were reviewed. The overall incidence of OASIS was compared with incidence rates stratified by parity and type of vaginal birth. ResultsThe 10-year vaginal delivery rate was 69% (n = 59 187) where 24 580 women (42%) were primiparous and 34 607 women (58%) were multiparous. SVD rate was 74% and OVD rate was 26%. The overall incidence of OASIS was 2.9%. The incidence of OASIS in OVD was 5.5% and the incidence in SVD was 2%. Of 498 multipara who sustained OASIS, 366 (73%) had an SVD without episiotomy compared with 14 (3%) who had an episiotomy. There was a significant reduction of OASIS over the 10-year period in primipara who had an OVD but no reduction in the other groups. ConclusionThe primiparous OVD group had a significant reduction of OASIS. Continued education around perineal protection and episiotomy at SVD could positively impact further reduction in OASIS, particularly in the SVD groups.
英文关键词	episiotomy obstetric anal sphincter injury operative vaginal delivery third-degree tear
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000994792600001
WOS关键词	MEDIOLATERAL EPISIOTOMY ; ANGLE ; RISK
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/2XILL650/397007
推荐引用方式 GB/T 7714	Alkharouf, Feras,Joyce, Niamh,Ward, Deidre,et al. Trends in obstetric anal sphincter injury in spontaneous vaginal delivery versus operative vaginal delivery over a 10-year period: Lessons learned[J],2023,163(3):888-893.
APA	Alkharouf, Feras,Joyce, Niamh,Ward, Deidre,Walsh, Fiona,Eogan, Maeve,&Geary, Michael.(2023).Trends in obstetric anal sphincter injury in spontaneous vaginal delivery versus operative vaginal delivery over a 10-year period: Lessons learned.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS,163(3),888-893.
MLA	Alkharouf, Feras,et al."Trends in obstetric anal sphincter injury in spontaneous vaginal delivery versus operative vaginal delivery over a 10-year period: Lessons learned".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS 163.3(2023):888-893.