Obstetrical and epidemiological factors influence the severity of anal incontinence after obstetric anal sphincter injury View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-12

AUTHORS

France Joris, Irene Hoesli, Andre Kind, Jean Jacques Ries, Tilemachos Kavvadias

ABSTRACT

BACKGROUND: Obstetric anal sphincter injury (OASI) is one of the most severe obstetrical complications. Although risk factors for OASI have been identified, little is known about various parameters that can influence symptoms' severity. The aim of this study is to explore whether obstetrical and epidemiological factors can have an effect on the severity of symptoms after OASI. METHODS: 11.483 deliveries between January 2010 and December 2014 were reviewed, and data from 88 women with OASI are presented. RESULTS: The only statistically significant differences between symptomatic and asymptomatic women were age (p = 0.02), body mass index (p = 0.04) and the use of forceps (p = 0.04). Women with more severe symptoms were more likely to have received oxytocin during the second stage of labor (p = 0.03) and had shorter delivery to follow-up interval (p = 0.008). CONCLUSIONS: Modifiable factors such as use of forceps and oxytocin should be taken into consideration in clinical practice. More... »

PAGES

94

References to SciGraph publications

  • 2007. Third and Fourth Degree Tears in PERINEAL AND ANAL SPHINCTER TRAUMA
  • 2009-05. Sphincter tears in primiparous women: is age a factor? in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2009-12. Tissue elasticity and the ageing elastic fibre in GEROSCIENCE
  • 2015-10. Kielland’s forceps: does it increase the risk of anal sphincter injuries? An observational study in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • 2016-01. Risk factors for severe obstetric perineal lacerations in INTERNATIONAL UROGYNECOLOGY JOURNAL
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12884-019-2238-2

    DOI

    http://dx.doi.org/10.1186/s12884-019-2238-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1112764407

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30871488


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