干旱区生态环境知识资源中心(Arid): Is epidural analgesia an independent risk factor for OASIS? A population-based cohort study

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DOI	10.1007/s00404-023-07150-1
	Is epidural analgesia an independent risk factor for OASIS? A population-based cohort study
	Eshkoli, Tamar; Baumfeld, Yael; Yohay, Zehava; Binyamin, Yair; Speigel, Efrat; Dym, Lianne; Weintraub, Adi Y.
通讯作者	Eshkoli, T
来源期刊	ARCHIVES OF GYNECOLOGY AND OBSTETRICS
ISSN	0932-0067
EISSN	1432-0711
出版年	2024
卷号	309 期号:6 页码:2499-2504
英文摘要	IntroductionTo evaluate whether epidural analgesia is an independent risk factor for OASIS.MethodsA population-based cohort study including all women who delivered by spontaneous vaginal delivery or by instrumental delivery beyond 24 weeks gestation was conducted. Deliveries occurred between 1988 and 2016 at a large university tertiary medical center. Women with multiple gestations and those lacking prenatal care were excluded from the analysis.ResultsDuring the study period, 252,542 women delivered at the Soroka University Medical Center and met the inclusion criteria. Of these, 583 (0.23%) were diagnosed with OASIS. Women with OASIS were more likely to be younger, nulliparous, with suspected fetal macrosomia, had higher rates of labor induction and vacuum extraction delivery, higher rates of conceiving after infertility treatments, more advanced gestational age at delivery, higher mean birth weight, higher rates of post-partum hemorrhage and need for blood transfusions. Use of epidural analgesia during pregnancy was significantly high among the OASIS group. Rates of episiotomy were not significantly different between the groups. Using a multimodal logistic regression model, after controlling for vacuum delivery, large for gestational age, nulliparity, gestational age, ethnicity, maternal age, induction of labor, fertility treatments, non-reassuring fetal heart rate and non-progressive second stage of labor, epidural analgesia was found to be significantly associated with OASIS.ConclusionEpidural analgesia was found to be an independent risk factor for OASIS in our population.
英文关键词	Epidural analgesia Macrosomia Nulliparity Obstetric anal sphincter injuries (OASIS) Vacuum extraction
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:001029370700001
WOS关键词	SEVERE PERINEAL LACERATION ; TEARS ; LABOR
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/2XILL650/402933
推荐引用方式 GB/T 7714	Eshkoli, Tamar,Baumfeld, Yael,Yohay, Zehava,et al. Is epidural analgesia an independent risk factor for OASIS? A population-based cohort study[J],2024,309(6):2499-2504.
APA	Eshkoli, Tamar.,Baumfeld, Yael.,Yohay, Zehava.,Binyamin, Yair.,Speigel, Efrat.,...&Weintraub, Adi Y..(2024).Is epidural analgesia an independent risk factor for OASIS? A population-based cohort study.ARCHIVES OF GYNECOLOGY AND OBSTETRICS,309(6),2499-2504.
MLA	Eshkoli, Tamar,et al."Is epidural analgesia an independent risk factor for OASIS? A population-based cohort study".ARCHIVES OF GYNECOLOGY AND OBSTETRICS 309.6(2024):2499-2504.