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Obstetric Perineal Tears in Pregnant Adolescents and the Influencing Factors.孕妇青少年的产科会阴撕裂及其影响因素。
J Pediatr Adolesc Gynecol. 2022 Jun;35(3):323-328. doi: 10.1016/j.jpag.2021.10.017. Epub 2021 Nov 5.
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Can we predict obstetric anal sphincter injury?我们能否预测产科肛门括约肌损伤？
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Neonatal head circumference as a risk factor for obstetric anal sphincter injuries: a systematic review and meta-analysis.新生儿头围作为产科肛门括约肌损伤的危险因素：系统评价和荟萃分析。
Am J Obstet Gynecol MFM. 2023 Aug;5(8):101047. doi: 10.1016/j.ajogmf.2023.101047. Epub 2023 Jun 3.
2
Risk factors associated with severe perineal lacerations during vaginal delivery: a 10-year propensity score-matched observational study.阴道分娩时严重会阴裂伤的相关危险因素：一项为期10年的倾向评分匹配观察性研究。
AJOG Glob Rep. 2023 Mar 7;3(2):100174. doi: 10.1016/j.xagr.2023.100174. eCollection 2023 May.
3
Risk factors for severe perineal lacerations during childbirth: A systematic review and meta-analysis of cohort studies.分娩时严重会阴裂伤的危险因素：队列研究的系统评价和荟萃分析。
J Clin Nurs. 2023 Jul;32(13-14):3248-3265. doi: 10.1111/jocn.16438. Epub 2022 Jul 5.
4
Risk factors for obstetric anal sphincter injury recurrence: A systematic review and meta-analysis.产科肛门括约肌损伤复发的危险因素：系统评价和荟萃分析。
Int J Gynaecol Obstet. 2022 Jul;158(1):27-34. doi: 10.1002/ijgo.13950. Epub 2021 Oct 20.
5
What may happen if you are pregnant during COVID-19 lockdown? A retrospective study about peripartum outcomes.如果您在 COVID-19 封锁期间怀孕，可能会发生什么？一项关于围产期结局的回顾性研究。
Minerva Obstet Gynecol. 2022 Aug;74(4):319-324. doi: 10.23736/S2724-606X.21.04878-8. Epub 2021 Jun 17.
6
The AEDUCATE Collaboration. Comprehensive antenatal education birth preparation programmes to reduce the rates of caesarean section in nulliparous women. Protocol for an individual participant data prospective meta-analysis.AEDUCATE协作组。全面的产前教育分娩准备计划以降低初产妇剖宫产率。个体参与者数据前瞻性荟萃分析方案。
BMJ Open. 2020 Sep 23;10(9):e037175. doi: 10.1136/bmjopen-2020-037175.
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Effect of the COVID-19 pandemic response on intrapartum care, stillbirth, and neonatal mortality outcomes in Nepal: a prospective observational study.COVID-19 大流行应对措施对尼泊尔产时护理、死产和新生儿死亡结局的影响：一项前瞻性观察性研究。
Lancet Glob Health. 2020 Oct;8(10):e1273-e1281. doi: 10.1016/S2214-109X(20)30345-4. Epub 2020 Aug 10.
8
Risk factors for severe perineal trauma during childbirth: An updated meta-analysis.分娩期间严重会阴创伤的危险因素：一项更新的荟萃分析。
Eur J Obstet Gynecol Reprod Biol. 2020 Apr;247:94-100. doi: 10.1016/j.ejogrb.2020.02.025. Epub 2020 Feb 14.
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Hands-on versus hands-off techniques for the prevention of perineal trauma during vaginal delivery: a systematic review and meta-analysis of randomized controlled trials.经阴道分娩时预防会阴创伤的手法：系统评价和随机对照试验的荟萃分析。
J Matern Fetal Neonatal Med. 2021 Mar;34(6):993-1001. doi: 10.1080/14767058.2019.1619686. Epub 2019 Jun 3.
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Is Ritgen's maneuver associated with decreased perineal lacerations and pain at delivery?里特根手法是否与分娩时会阴裂伤减少和疼痛减轻有关？
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“理想分娩”：严重会阴裂伤的发生情况、相关因素及识别高危患者的可能性

The "Ideal Birth": The Occurrence of Severe Perineal Lacerations, Related Factors and the Possibility of Identifying Patients at Higher Risk.

作者信息

Aquino Carmen Imma, Tivano Alessia, Sala Francesca Della, Colagiorgio Sofia, Scalisi Lucia, Alemu Tewobista Ewnetu, Scotti Lorenza, Tarrano Elisabetta, Remorgida Valentino, Surico Daniela

机构信息

Department of Translational Medicine, Università del Piemonte Orientale, Gynecology and Obstetrics, "Maggiore della Carità" Hospital, 28100 Novara, Italy.

Department of Translational Medicine, Unit of Medical Statistics, Università del Piemonte Orientale, 28100 Novara, Italy.

出版信息

Healthcare (Basel). 2024 Dec 22;12(24):2584. doi: 10.3390/healthcare12242584.

DOI:10.3390/healthcare12242584
PMID:39766010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11727867/
Abstract

BACKGROUND

Obstetric lesions of the anal sphincter (OASIS) are tears intersecting the structure of the anus after vaginal delivery. Our aim is to provide data on the incidence of OASIS and investigate potentially connected risk factors.

METHODS

This is a retrospective analysis of 464 parturient patients admitted to the AOU Maggiore della Carità, Novara (Italy), in the last ten years (2013-2023), comparing 116 cases (with OASIS) versus 348 controls (with no OASIS).

RESULTS

The incidence of OASIS was 1.1%. Among the significant risk factors associated with the risk of severe perineal laceration in our sample, we observed nulliparity, previous caesarean sections, assisted reproduction technology, kilos gained during pregnancy, induced delivery, the use of oxytocin for augmentation, epidural analgesia, delivery after 40 weeks of gestation, position at delivery, the duration of labor, the application of a vacuum cup, newborn weight and head circumference.

CONCLUSIONS

It was a challenge to find data on OASIS and on more preventable and modifiable risk factors. Beyond the improvement of the corresponding diagnostic and therapeutic tools, a new aim could be to stratify women giving birth based on possible risk factors.

摘要

背景

产科肛门括约肌损伤（OASIS）是指阴道分娩后肛门结构的撕裂伤。我们的目的是提供OASIS的发病率数据，并调查潜在的相关危险因素。

方法

这是一项对意大利诺瓦拉市马焦雷·德拉·卡里塔综合医院在过去十年（2013 - 2023年）收治的464例产妇进行的回顾性分析，比较116例（有OASIS）与348例对照（无OASIS）。

结果

OASIS的发病率为1.1%。在我们样本中与严重会阴撕裂风险相关的显著危险因素中，我们观察到初产、既往剖宫产史、辅助生殖技术、孕期体重增加、引产、使用缩宫素加强宫缩、硬膜外镇痛、妊娠40周后分娩、分娩体位、产程、使用吸引杯、新生儿体重和头围。

结论

获取关于OASIS以及更多可预防和可改变危险因素的数据是一项挑战。除了改进相应的诊断和治疗工具外，一个新的目标可能是根据可能的危险因素对产妇进行分层。