Anal sphincter injury in vaginal deliveries complicated by shoulder dystocia

Anal sphincter injury in vaginal deliveries complicated by shoulder dystocia Int Urogynecol J (2018) 29:377–381 DOI 10.1007/s00192-017-3351-2 ORIGINAL ARTICLE Anal sphincter injury in vaginal deliveries complicated by shoulder dystocia 1,2 1 1 1 Mark P. Hehir & Zachary Rubeo & Karen Flood & Anne H. Mardy & 2 2 1 Colm O’Herlihy & Peter C. Boylan & Mary E. D’Alton Received: 2 December 2016 /Accepted: 24 April 2017 /Published online: 18 May 2017 The International Urogynecological Association 2017 Abstract factors. Episiotomy was negatively associated with sphincter Introduction and hypothesis Shoulder dystocia is an obstetric injury on multivariate regression analysis. emergency that occurs in 0.2–3% of all cephalic vaginal de- Conclusions In a retrospective cohort of 685 women with liveries. We hypothesized that because of the difficult nature shoulder dystocia, the risk of anal sphincter injury is 9%. of deliveries complicated by shoulder dystocia, the condition Risk factors include nulliparity, operative vaginal delivery, may be associated with anal sphincter injury. We sought to and use of internal maneuvers, whereas episiotomy was found identify risk factors for obstetric anal sphincter injury in wom- to have a protective effect against anal sphincter injury during en with shoulder dystocia. cases of shoulder dystocia. Methods This retrospective analysis included all cases of shoulder dystocia http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Urogynecology Journal Springer Journals

Anal sphincter injury in vaginal deliveries complicated by shoulder dystocia

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Publisher
Springer Journals
Copyright
Copyright © 2017 by The International Urogynecological Association
Subject
Medicine & Public Health; Gynecology; Urology
ISSN
0937-3462
eISSN
1433-3023
D.O.I.
10.1007/s00192-017-3351-2
Publisher site
See Article on Publisher Site

Abstract

Int Urogynecol J (2018) 29:377–381 DOI 10.1007/s00192-017-3351-2 ORIGINAL ARTICLE Anal sphincter injury in vaginal deliveries complicated by shoulder dystocia 1,2 1 1 1 Mark P. Hehir & Zachary Rubeo & Karen Flood & Anne H. Mardy & 2 2 1 Colm O’Herlihy & Peter C. Boylan & Mary E. D’Alton Received: 2 December 2016 /Accepted: 24 April 2017 /Published online: 18 May 2017 The International Urogynecological Association 2017 Abstract factors. Episiotomy was negatively associated with sphincter Introduction and hypothesis Shoulder dystocia is an obstetric injury on multivariate regression analysis. emergency that occurs in 0.2–3% of all cephalic vaginal de- Conclusions In a retrospective cohort of 685 women with liveries. We hypothesized that because of the difficult nature shoulder dystocia, the risk of anal sphincter injury is 9%. of deliveries complicated by shoulder dystocia, the condition Risk factors include nulliparity, operative vaginal delivery, may be associated with anal sphincter injury. We sought to and use of internal maneuvers, whereas episiotomy was found identify risk factors for obstetric anal sphincter injury in wom- to have a protective effect against anal sphincter injury during en with shoulder dystocia. cases of shoulder dystocia. Methods This retrospective analysis included all cases of shoulder dystocia

Journal

International Urogynecology JournalSpringer Journals

Published: May 18, 2017

References

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