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Risk Factors for Obstetric Anal Sphincter Injuries among Women Delivering at a Tertiary Hospital in Southwestern Uganda
المؤلفون المشاركون
Joseph, Ngonzi
Ali, Mahad
Migisha, Richard
Muhumuza, Joy
Mayanja, Ronald
Joe Lapat, Jolly
Salongo, Wasswa
Kayondo, Musa
المصدر
Obstetrics and Gynecology International
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-05-14
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Obstetric anal sphincter injuries (OASIS) arise from perineal trauma during vaginal delivery and are associated with poor maternal health outcomes.
Most OASIS occur in unattended deliveries in resource-limited settings.
However, even in facilities where deliveries are attended by skilled personnel, a number of women still get OASIS.
Objectives.
To determine the incidence and risk factors for obstetric anal sphincter injuries among women delivering at Mbarara Regional Referral Hospital (MRRH).
Methods.
We conducted an unmatched hospital-based case control study, with the ratio of cases to controls of 1 : 2 (80 cases and 160 controls).
We defined a case as a mother who got a third- or fourth-degree perineal tear after vaginal delivery while the controls recruited were the next two mothers who delivered vaginally without a third- or fourth-degree perineal tear.
A questionnaire and participants’ medical records review were used to obtain sociodemographic and clinical data.
We estimated the incidence of OASIS and performed univariable and multivariable logistic regression to identify the associated risk factors.
Results.
The cumulative incidence for OASIS during the study period was 6.6%.
The risk factors for OASIS were 2nd stage of labour ≥1 hour (aOR 6.07, 95%CI 1.86–19.82, p=0.003), having episiotomy performed during labour (aOR 2.57, 95%CI 1.07–6.17, p=0.035), perineum support during delivery (aOR 0.03, 95%CI 0.01–0.12, p<0.001), and monthly income of >50,000 shillings (aOR 0.09, 95%CI 0.03–0.28, p<0.001).
Conclusions and Recommendations.
The risk factors for obstetric anal sphincter injury were prolonged second stage of labour and performing episiotomies during deliveries while higher monthly income and perineum support during delivery were protective.
We recommend routine support to the perineum during delivery.
Care should be taken in mothers with episiotomies, as they can extend and cause OASIS.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ali, Mahad& Migisha, Richard& Joseph, Ngonzi& Muhumuza, Joy& Mayanja, Ronald& Joe Lapat, Jolly…[et al.]. 2020. Risk Factors for Obstetric Anal Sphincter Injuries among Women Delivering at a Tertiary Hospital in Southwestern Uganda. Obstetrics and Gynecology International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1203360
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ali, Mahad…[et al.]. Risk Factors for Obstetric Anal Sphincter Injuries among Women Delivering at a Tertiary Hospital in Southwestern Uganda. Obstetrics and Gynecology International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1203360
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ali, Mahad& Migisha, Richard& Joseph, Ngonzi& Muhumuza, Joy& Mayanja, Ronald& Joe Lapat, Jolly…[et al.]. Risk Factors for Obstetric Anal Sphincter Injuries among Women Delivering at a Tertiary Hospital in Southwestern Uganda. Obstetrics and Gynecology International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1203360
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1203360
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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