干旱区生态环境知识资源中心(Arid): Pelvic floor healing milestones after obstetric anal sphincter injury: a prospective case control feasibility study

Arid

DOI	10.1007/s00192-022-05348-6
	Pelvic floor healing milestones after obstetric anal sphincter injury: a prospective case control feasibility study
	Tilak, Manisha; Mann, Gurkiran K.; Gong, Merry; Koenig, Nicole A.; Lee, Terry; Geoffrion, Roxana
通讯作者	Tilak, M
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2023
卷号	34 期号:2 页码:553-561
英文摘要	Introduction and hypothesis Severe perineal tears can predict bothersome pelvic floor disorders later in life. We have a poor understanding of pelvic floor changes during the third trimester and the first few postpartum months. We aimed to compare women with severe perineal trauma during childbirth with women who experienced minimal trauma, for condition-specific quality of life, sexual function, mental health and overall quality of life in the first 6 months postpartum. Methods We recruited primiparous women with third- or fourth-degree tears (obstetric anal sphincter injuries, OASIS) and age-matched controls with no tears or first-degree tears in the immediate postpartum period. Participants completed validated questionnaires at baseline, 2, 4 and 6 months postpartum. Mixed effects linear regression or quantile regression adjusted for baseline score were used to compare the groups as appropriate. Results A total of 74 women completed at least one questionnaire (35 OASIS, 39 controls). Both groups had similar demographics. Women with OASIS tended to have worse Pelvic Floor Distress Index-40 scores at month 2; median scores were similar in the two groups by month 6. They also had significantly lower Female Sexual Function Index scores (mean difference: -6.1; 95% CI: -11.9, -0.2, p=0.043) at month 2. There were no mental health group differences and quality of life improved over time, mainly in the OASIS group. Six-month participant attrition rate was 52%. Conclusions Women with OASIS encounter specific pelvic floor challenges during the first 6 months postpartum. Although our recruitment rate was high, the attrition rate was also high, demonstrating challenges with retention of postpartum women into longitudinal research.
英文关键词	Obstetric anal sphincter injury Pregnancy Postpartum pelvic floor Quality of life Sexuality
类型	Article
语种	英语
开放获取类型	Bronze, Green Published
收录类别	SCI-E
WOS记录号	WOS:000853456000002
WOS关键词	INCONTINENCE ; DISORDERS ; DELIVERY ; HEALTH ; WOMEN ; ASSOCIATION ; DYSFUNCTION ; CHILDBIRTH ; PREVENTION ; PREGNANCY
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/2XILL650/397055
推荐引用方式 GB/T 7714	Tilak, Manisha,Mann, Gurkiran K.,Gong, Merry,et al. Pelvic floor healing milestones after obstetric anal sphincter injury: a prospective case control feasibility study[J],2023,34(2):553-561.
APA	Tilak, Manisha,Mann, Gurkiran K.,Gong, Merry,Koenig, Nicole A.,Lee, Terry,&Geoffrion, Roxana.(2023).Pelvic floor healing milestones after obstetric anal sphincter injury: a prospective case control feasibility study.INTERNATIONAL UROGYNECOLOGY JOURNAL,34(2),553-561.
MLA	Tilak, Manisha,et al."Pelvic floor healing milestones after obstetric anal sphincter injury: a prospective case control feasibility study".INTERNATIONAL UROGYNECOLOGY JOURNAL 34.2(2023):553-561.