干旱区生态环境知识资源中心(Arid): Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population

Arid

DOI	10.1002/ijgo.15823
	Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population
	Zapata-Caballero, Carlos Agustin; Rivera-Medina, Ernesto Rodolfo; Cevallos-Bustillos, Jaime Ignacio; Granados-Martinez, Veronica; Gorbea-Chavez, Viridiana
通讯作者	Zapata-Caballero, CA
来源期刊	INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
ISSN	0020-7292
EISSN	1879-3479
出版年	2024
英文摘要	Objective: This study describes the frequency of obstetric anal sphincter injuries (OASIS) in patients after instrumental delivery according to the type of forceps used. Methods: A retrospective comparative cohort study was conducted on patients who underwent instrumental delivery from January 2017 to April 2022. The primary outcome was the presence of OASIS following delivery. Patients were categorized into Cohort A if only rotation forceps were used, Cohort B for only traction forceps, and Cohort C if both types were used sequentially. Statistical analysis was performed with SPSS (IBM, New York, NY) with chi(2), Fisher's exact, and analysis of variance testing. A P-value <0.05 was considered significant. Results: OASIS occurred in 45 of 328 instrumental deliveries. OASIS after rotation forceps occurred in 12.9% (n = 8) of cases, after traction forceps in 13.2% (n = 34), and after sequential use of rotation and traction forceps in 37.5% (n = 3) of cases (p = 0.141). An odds ratio (OR) of 0.91 (95% confidence interval [CI] 0.40-2.08) for OASIS was obtained with the use of rotation forceps, 0.81 (95% CI 0.38-1.70) for traction forceps, and 3.97 (95% CI 0.91-17.2) for the sequential use of rotation and traction forceps. Conclusion: There were no significant differences in the presence of OASIS comparing traction and rotation forceps. A non-significant trend of higher OASIS following the sequential use of traction and rotation forceps was observed.
英文关键词	forceps delivery instrumental delivery obstetric anal sphincter injuries operative vaginal delivery rotation forceps sequential instruments traction forceps
类型	Article ; Early Access
语种	英语
开放获取类型	hybrid
收录类别	SCI-E
WOS记录号	WOS:001281412000001
WOS关键词	OPERATIVE VAGINAL DELIVERY ; SEQUENTIAL USE ; OASIS
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/2XILL650/404246
推荐引用方式 GB/T 7714	Zapata-Caballero, Carlos Agustin,Rivera-Medina, Ernesto Rodolfo,Cevallos-Bustillos, Jaime Ignacio,et al. Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population[J],2024.
APA	Zapata-Caballero, Carlos Agustin,Rivera-Medina, Ernesto Rodolfo,Cevallos-Bustillos, Jaime Ignacio,Granados-Martinez, Veronica,&Gorbea-Chavez, Viridiana.(2024).Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population.INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS.
MLA	Zapata-Caballero, Carlos Agustin,et al."Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population".INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS (2024).