Mode of Vaginal Delivery: A Modifiable Intrapartum Risk Factor for Obstetric Anal Sphincter Injury
Joint Authors
Porta, O.
Calaf, J.
Simó González, Marta
Perelló Capó, Josep
Gich Saladich, Ignasi
Source
Obstetrics and Gynecology International
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The aim of this study was to analyze the comparative risks of this anal sphincter injury in relation to the type of intervention in vaginal delivery.
We performed an observational, retrospective study of all vaginal deliveries attended at a tertiary university hospital between January 2006 and December 2009.
We analyzed the incidence of obstetric anal sphincter injury for each mode of vaginal delivery: spontaneous delivery, vacuum, Thierry spatulas, and forceps.
We determined the proportional incidence between methods taking spontaneous delivery as the reference.
Ninety-seven of 4526 (2.14%) women included in the study presented obstetric anal sphincter injury.
Instrumental deliveries showed a significantly higher risk of anal sphincter injury (2.7 to 4.9%) than spontaneous deliveries (1.1%).
The highest incidence was for Thierry spatulas (OR 4.804), followed by forceps (OR 4.089) and vacuum extraction (OR 2.509).
The type of intervention in a vaginal delivery is a modifiable intrapartum risk factor for obstetric anal sphincter injury.
Tearing can occur in any type of delivery but proportions vary significantly.
All healthcare professionals attending childbirth should be aware of the risk for each type of intervention and consider these together with the obstetric factors in each case.
American Psychological Association (APA)
Simó González, Marta& Porta, O.& Perelló Capó, Josep& Gich Saladich, Ignasi& Calaf, J.. 2015. Mode of Vaginal Delivery: A Modifiable Intrapartum Risk Factor for Obstetric Anal Sphincter Injury. Obstetrics and Gynecology International،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1075509
Modern Language Association (MLA)
Simó González, Marta…[et al.]. Mode of Vaginal Delivery: A Modifiable Intrapartum Risk Factor for Obstetric Anal Sphincter Injury. Obstetrics and Gynecology International No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1075509
American Medical Association (AMA)
Simó González, Marta& Porta, O.& Perelló Capó, Josep& Gich Saladich, Ignasi& Calaf, J.. Mode of Vaginal Delivery: A Modifiable Intrapartum Risk Factor for Obstetric Anal Sphincter Injury. Obstetrics and Gynecology International. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1075509
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1075509