干旱区生态环境知识资源中心(Arid): The association between BMI, episiotomy, and obstetric anal sphincter injuries (OASIS) in singleton vaginal deliveries

Arid

DOI	10.1016/j.ejogrb.2024.06.011
	The association between BMI, episiotomy, and obstetric anal sphincter injuries (OASIS) in singleton vaginal deliveries
	Shalabna, Eiman; Yinon, Mayan; Daykan, Yair; Assaf, Wisam; Abramov, Yoram; Sagi-Dain, Lena
通讯作者	Shalabna, E
来源期刊	EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
ISSN	0301-2115
EISSN	1872-7654
出版年	2024
卷号	299 页码:143-147
英文摘要	Objective: Prevalence of obesity in reproductive age and pregnant women has been on the rise during the past several decades. The relationship between body mass index (BMI) and obstetric anal sphincter injuries (OASIS) or episiotomy has not yet been thoroughly investigated. The objective of this study was to shed light on this issue. Methods: This retrospective cohort study was performed using electronic database of an obstetrics department at a university-affiliated tertiary medical center. All spontaneous singleton vaginal deliveries at term between January 2015 and December 2021 were included. The primary outcome was the incidence of OASIS (third- and fourth-degree perineal tears) and obesity. These were compared across three BMI categories: normal (BMI below 25 kg/m2), overweight (BMI 25.0-29.9 kg/m2), and obesity (BMI of 30 kg/m2 and over). Results: Of the overall 13,932 spontaneous vaginal deliveries identified, 34.7 % had BMI in the normal range, 43.1 % were overweight, and 25.4 % were obese. Multivariate analysis demonstrated lower rates of OASIS in obese (OR 0.2, 95 %CI 0.04-0.9) and in overweight (OR 0.3, 95 %CI 0.1-0.99) women, as compared to the normal-weight cohort. In addition, lower rates of episiotomy were noted in the obese cohort (OR 0.7, 95 %CI 0.6-0.8). Conclusions: Decreased incidence of OASIS was noted in women with obesity, in conjunction with lower use of episiotomy. These findings imply that obstetrics clinics might consider a more conservative approach to episiotomy in obese patients.
英文关键词	Advanced Perineal Tears Body Mass Index (BMI) Episiotomy Obstetrics anal sphincter injuries (OASIS) Obesity
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:001263857900001
WOS关键词	BODY-MASS INDEX ; RISK-FACTORS ; OBESITY ; PREVALENCE ; PREGNANCY ; BIRTH
WOS类目	Obstetrics & Gynecology ; Reproductive Biology
WOS研究方向	Obstetrics & Gynecology ; Reproductive Biology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/403703
推荐引用方式 GB/T 7714	Shalabna, Eiman,Yinon, Mayan,Daykan, Yair,et al. The association between BMI, episiotomy, and obstetric anal sphincter injuries (OASIS) in singleton vaginal deliveries[J],2024,299:143-147.
APA	Shalabna, Eiman,Yinon, Mayan,Daykan, Yair,Assaf, Wisam,Abramov, Yoram,&Sagi-Dain, Lena.(2024).The association between BMI, episiotomy, and obstetric anal sphincter injuries (OASIS) in singleton vaginal deliveries.EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY,299,143-147.
MLA	Shalabna, Eiman,et al."The association between BMI, episiotomy, and obstetric anal sphincter injuries (OASIS) in singleton vaginal deliveries".EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY 299(2024):143-147.