干旱区生态环境知识资源中心(Arid): Recovery from Obstetric Anal Sphincter Injury in a Prospective Cohort of First Births

Arid

DOI	10.1055/a-1788-4642
	Recovery from Obstetric Anal Sphincter Injury in a Prospective Cohort of First Births
	Attanasio, Laura B.; Ranchoff, Brittany L.; Long, Jaime B.; Kjerulff, Kristen H.
通讯作者	Attanasio, LB
来源期刊	AMERICAN JOURNAL OF PERINATOLOGY
ISSN	0735-1631
EISSN	1098-8785
出版年	2024
卷号	41 期号:7 页码:924-934
英文摘要	Objective To identify risk factors for obstetric anal sphincter injuries (OASIS) for primiparous women who gave birth vaginally and to compare recovery by OASIS status in three domains as follows: (1) physical health and functioning, (2) mental health, and (3) healthcare utilization. Study Design This secondary analysis used data from 2,013 vaginal births in the First Baby Study, a prospective cohort study of women with first births between 2009 and 2011. Interview data at multiple time points were linked to birth certificate and hospital discharge data. The key exposure of interest was OASIS (3rd or 4th degree perineal laceration, identified in the hospital discharge data; n = 174) versus no OASIS ( n = 1,839). We used multivariable logistic regression models to examine the association between OASIS and a range of outcomes including physical health and functioning, depression, and health care utilization, assessed at 1 month and 6 months postpartum. Results Eight percent of women had OASIS. In adjusted models, there were no differences in general physical health and functioning measures by OASIS (such as fatigue and overall self-rated health), but women with OASIS had higher rates of reporting perineal pain ( p < 0.001), accidental stool loss ( p = 0.001), and bowel problems ( p < 0.001) at 1-month postpartum. By 6-month postpartum, there were no differences in reported physical health and functioning. There were no differences in probable depression at 1- or 6-month postpartum. Women with OASIS were more likely to attend a comprehensive postpartum visit, but there were no other differences in health care utilization by OASIS. Conclusion Women with OASIS were at increased risk of accidental stool loss, bowel problems, and perineal pain in the immediate postpartum period. Women who had OASIS had similar physical functioning across a range of general health outcomes to women who gave birth vaginally without OASIS.
英文关键词	obstetric anal sphincter injury perineal laceration nulliparity recovery vaginal delivery
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000821289000002
WOS关键词	POSTPARTUM DEPRESSIVE SYMPTOMS ; PELVIC FLOOR DISORDERS ; RISK-FACTORS ; URINARY-INCONTINENCE ; VAGINAL DELIVERY ; PERINEAL PAIN ; DYSPAREUNIA ; CHILDBIRTH ; LACERATION ; MODE
WOS类目	Obstetrics & Gynecology ; Pediatrics
WOS研究方向	Obstetrics & Gynecology ; Pediatrics
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/402815
推荐引用方式 GB/T 7714	Attanasio, Laura B.,Ranchoff, Brittany L.,Long, Jaime B.,et al. Recovery from Obstetric Anal Sphincter Injury in a Prospective Cohort of First Births[J],2024,41(7):924-934.
APA	Attanasio, Laura B.,Ranchoff, Brittany L.,Long, Jaime B.,&Kjerulff, Kristen H..(2024).Recovery from Obstetric Anal Sphincter Injury in a Prospective Cohort of First Births.AMERICAN JOURNAL OF PERINATOLOGY,41(7),924-934.
MLA	Attanasio, Laura B.,et al."Recovery from Obstetric Anal Sphincter Injury in a Prospective Cohort of First Births".AMERICAN JOURNAL OF PERINATOLOGY 41.7(2024):924-934.