干旱区生态环境知识资源中心(Arid): Risk factors for severe perineal lacerations during childbirth: A systematic review and meta-analysis of cohort studies

Arid

DOI	10.1111/jocn.16438
	Risk factors for severe perineal lacerations during childbirth: A systematic review and meta-analysis of cohort studies
	Hu, Yinchu; Lu, Hong; Huang, Qifang; Ren, Lihua; Wang, Na; Huang, Jing; Yang, Minghui; Cao, Linlin
通讯作者	Hu, YC ; Lu, H
来源期刊	JOURNAL OF CLINICAL NURSING
ISSN	0962-1067
EISSN	1365-2702
出版年	2023
卷号	32 期号:13-14 页码:3248-3265
英文摘要	Aims and objectives To evaluate and quantify the best available evidence regarding risk factors for severe perineal lacerations. Background Many studies have evaluated the risk factors for severe perineal lacerations. However, the results of those studies are inconsistent, and meta-analysis which thoroughly evaluates the risk factors for severe perineal lacerations is still lacking. Design Systematic review and meta-analysis of cohort studies based on the PRISMA guideline. Methods PubMed, Embase, the Cochrane Library, CINAHL, , CNKI, Wanfang Data, VIP and SinoMed were systematically searched for cohort studies reporting at least one risk factor for severe perineal lacerations from 1 January 2000 to 2 June 2021. Two reviewers independently conducted quality appraisal by NOS scale and extracted data. Data synthesis was conducted via RevMan 5.3 using a random-effects or fixed-effects model. Results A total of 47 studies with 7,043,218 women were included. The results showed that prior caesarean delivery (OR: 1.46, 95% CI 1.12-1.92) and pre-pregnant underweight (OR: 1.31, 95% CI 1.22-1.41) significantly increased the risk of severe perineal lacerations. The results also demonstrated that episiotomy was protective against severe perineal lacerations in forceps delivery (OR: 0.56, 95% CI 0.42-0.74), but not spontaneous vaginal delivery (OR: 1.30, 95% CI 0.81-2.07) or vacuum delivery (OR: 0.76, 95% CI 0.45-1.28). Nulliparity, foetus in occipitoposterior or occipitotransverse position, and midline episiotomy were also independent risk factors for severe perineal lacerations. Conclusions Severe perineal lacerations are associated with many factors, and evidence-based risk assessment tools are needed to guide the midwives and obstetricians to estimate women's risk of severe perineal lacerations. Relevance to clinical practice This systematic review and meta-analysis identified some important risk factors for severe perineal lacerations, which provides comprehensive insights to guide the midwives to assess women's risk for severe perineal lacerations and take appropriate preventive measures to decrease the risk.
英文关键词	OASIs risk severe perineal lacerations vaginal birth after caesarean delivery VBAC
类型	Review
语种	英语
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000820903000001
WOS关键词	ANAL-SPHINCTER INJURIES ; OPERATIVE VAGINAL DELIVERY ; EPIDURAL ANALGESIA ; NEONATAL MORBIDITY ; EPISIOTOMY ; TEARS ; BIRTH ; WOMEN ; MODES ; LABOR
WOS类目	Nursing
WOS研究方向	Nursing
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/397239
推荐引用方式 GB/T 7714	Hu, Yinchu,Lu, Hong,Huang, Qifang,et al. Risk factors for severe perineal lacerations during childbirth: A systematic review and meta-analysis of cohort studies[J],2023,32(13-14):3248-3265.
APA	Hu, Yinchu.,Lu, Hong.,Huang, Qifang.,Ren, Lihua.,Wang, Na.,...&Cao, Linlin.(2023).Risk factors for severe perineal lacerations during childbirth: A systematic review and meta-analysis of cohort studies.JOURNAL OF CLINICAL NURSING,32(13-14),3248-3265.
MLA	Hu, Yinchu,et al."Risk factors for severe perineal lacerations during childbirth: A systematic review and meta-analysis of cohort studies".JOURNAL OF CLINICAL NURSING 32.13-14(2023):3248-3265.