Int Urogynecol J (2018) 29:407–413 DOI 10.1007/s00192-017-3422-4 ORIGINAL ARTICLE The effectiveness of mediolateral episiotomy in preventing obstetric anal sphincter injuries during operative vaginal delivery: a ten-year analysis of a national registry 1 2 2 Jeroen van Bavel & Chantal W. P. M. Hukkelhoven & Charlotte de Vries & 1 3 4 5 Dimitri N. M. Papatsonis & Joey de Vogel & Jan-Paul W. R. Roovers & Ben Willem Mol & Jan Willem de Leeuw Received: 31 March 2017 /Accepted: 29 June 2017 /Published online: 18 July 2017 The International Urogynecological Association 2017 Abstract Results The incidences of OASIS following vacuum delivery Introduction and hypothesis Obstetric anal sphincter injuries in 130,157 primiparous women were 2.5% and 14% in those (OASIS) are associated with an increased risk of faecal incon- with and without a mediolateral episiotomy, respectively (ad- tinence after vaginal delivery. The aim of this retrospective justed OR 0.14, 95% CI 0.13–0.15), and in 29,183 multipa- population-based cohort study was to assess whether rous women were 2.0% and 7.5%, respectively (adjusted OR mediolateral episiotomy is associated with a reduction in the 0.23, 95% CI 0.21–0.27). The incidences of OASIS following rate of OASIS during operative vaginal delivery. forceps delivery in
International Urogynecology Journal – Springer Journals
Published: Jul 18, 2017
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