干旱区生态环境知识资源中心(Arid): Midterm complications after primary obstetrical anal sphincter injury repair in France

Arid

DOI	10.1186/s12884-024-06691-w
	Midterm complications after primary obstetrical anal sphincter injury repair in France
	Lallemant, Marine; Bartolo, Stephanie; Ghesquiere, Louise; Rubod, Chrystele; Ruffolo, Alessandro Ferdinando; Kerbage, Yohan; Chazard, Emmanuel; Cosson, Michel
通讯作者	Lallemant, M
来源期刊	BMC PREGNANCY AND CHILDBIRTH
EISSN	1471-2393
出版年	2024
卷号	24 期号:1
英文摘要	BackgroundIncidence of complications following obstetrical anal sphincter injury (OASI) during vaginal delivery are poorly defined. They are only studied in high level maternities, small cohorts, all stages of perineal tear or in low-income countries. The aim of our study was to describe complications after primary OASI repair following a vaginal delivery in all French maternity wards at short and midterm and to assess factors associated with complication occurrence.MethodsWe conducted a historical cohort study using the French nationwide claim database (PMSI) from January 2013 to December 2021. All women who sustained an OASI repair following a vaginal delivery were included and virtually followed-up for 2 years. Then, we searched for OASIS complications. Finally, we evaluated factors associated with OASIS complication repaired or not and OASIS complication repairs.ResultsAmong the 61,833 included women, 2015 (2.8%) had an OASI complication and 842 (1.16%) underwent an OASI complication repair. Women were mainly primiparous (71.6%) and 44.3% underwent an instrumental delivery. During a follow-up of 2 years, 0.6% (n = 463), 0.3% (n = 240), 0.2% (n = 176), 0.1% (n = 84), 0.06% (n = 43) and 0.01% (n = 5) of patients underwent second surgery for a perineal repair, a fistula repair, a sphincteroplasty, a perineal infection, a colostomy and a sacral nervous anal stimulation, respectively. Only one case of artificial anal sphincter was noticed. Instrumental deliveries (OR = 1.56 CI95%[1.29;1.9]), private for-profit hospitals (OR = 1.42 [1.11;1.82], reference group public hospital), obesity (OR = 1.36 [1;1.84]), stage IV OASIS (OR = 2.98 [2.4;3.72]), perineal wound breakdown (OR = 2.8 [1.4;5.48]), ages between 25 and 29 years old (OR = 1.59 [1.17;2.18], refence group age between 13 and 24 years old) and 30 and 34 years old (OR = 1.57 [1.14; 2.16], refence group age between 13 and 24 years old) were factors associated with OASIS complication repairs.ConclusionsMaternal age, stage IV OASIS, obesity, instrumental deliveries and private for-profit hospitals seemed to predict OASIS complications. Understanding factors associated with OASIS complications could be beneficial for the patient to inform them and to influence the patient's follow-up in order to prevent complications, repairs and maternal distress.
英文关键词	Wound complication Anal sphincter repair Wound breakdown Wound infection Perineal trauma Perineal care
类型	Article
语种	英语
开放获取类型	Green Published, gold
收录类别	SCI-E
WOS记录号	WOS:001291672900003
WOS关键词	PERINEAL LACERATION REPAIR ; RISK-FACTORS ; MANAGEMENT
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/2XILL650/403062
推荐引用方式 GB/T 7714	Lallemant, Marine,Bartolo, Stephanie,Ghesquiere, Louise,et al. Midterm complications after primary obstetrical anal sphincter injury repair in France[J],2024,24(1).
APA	Lallemant, Marine.,Bartolo, Stephanie.,Ghesquiere, Louise.,Rubod, Chrystele.,Ruffolo, Alessandro Ferdinando.,...&Cosson, Michel.(2024).Midterm complications after primary obstetrical anal sphincter injury repair in France.BMC PREGNANCY AND CHILDBIRTH,24(1).
MLA	Lallemant, Marine,et al."Midterm complications after primary obstetrical anal sphincter injury repair in France".BMC PREGNANCY AND CHILDBIRTH 24.1(2024).