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DOI | 10.1111/1471-0528.17914 |
Obstetric anal sphincter injuries during instrumental vaginal delivery: An observational study based on 18-years of real-world data | |
Fodstad, Kathrine; Laine, Katariina; Raisanen, Sari | |
通讯作者 | Fodstad, K |
来源期刊 | BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
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ISSN | 1470-0328 |
EISSN | 1471-0528 |
出版年 | 2024 |
英文摘要 | ObjectiveTo determine the prevalence and secular trends of obstetric anal sphincter injuries (OASIS) in vacuum and forceps deliveries in Norway, both with and without episiotomy.DesignPopulation-based real-world data collected during 2001-2018.SettingMedical Birth Registry Norway.Population or SampleNulliparous women with singleton foetuses in a cephalic presentation delivered by either vacuum or forceps (n = 70 783).MethodsLogistic regression analyses were applied to the OASIS prevalence in six 3-year time periods. Both crude odds ratios and adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were determined.Main Outcome MeasuresOASIS prevalence.ResultsThe OASIS prevalence in vacuum and forceps deliveries decreased from 14.8% during 2001-2003 to 5.2% during 2016-2018. The overall reduction between the first and last 3-year time period was 61% (aOR = 0.39, 95% CIs = 0.35-0.43). The only exception to this decreasing trend in OASIS was found in forceps deliveries performed without an episiotomy. The OASIS prevalence was approximately twofold higher in forceps compared to vacuum deliveries (aOR = 1.92, 95% CIs = 1.79-2.05). Performing either a mediolateral or lateral episiotomy was associated with a 45% decrease in the prevalence of OASIS relative to no episiotomy (aOR = 0.55, 95% CIs = 0.52-0.58).ConclusionsOpting for vacuum rather than forceps delivery in conjunction with a mediolateral or lateral episiotomy could significantly lower the OASIS prevalence in nulliparous women. |
英文关键词 | episiotomy forceps delivery nulliparous obstetric anal sphincter injury quality development register data third- and fourth-degree perineal lacerations vacuum delivery |
类型 | Article ; Early Access |
语种 | 英语 |
开放获取类型 | hybrid, Green Published |
收录类别 | SCI-E |
WOS记录号 | WOS:001271251600001 |
WOS关键词 | MEDIOLATERAL EPISIOTOMY ; RISK-FACTORS ; TEARS ; ANGLE ; LIFE |
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/2XILL650/403039 |
推荐引用方式 GB/T 7714 | Fodstad, Kathrine,Laine, Katariina,Raisanen, Sari. Obstetric anal sphincter injuries during instrumental vaginal delivery: An observational study based on 18-years of real-world data[J],2024. |
APA | Fodstad, Kathrine,Laine, Katariina,&Raisanen, Sari.(2024).Obstetric anal sphincter injuries during instrumental vaginal delivery: An observational study based on 18-years of real-world data.BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY. |
MLA | Fodstad, Kathrine,et al."Obstetric anal sphincter injuries during instrumental vaginal delivery: An observational study based on 18-years of real-world data".BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY (2024). |
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