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
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.
All for just $49/month
It’s easy to organize your research with our built-in tools.
All the latest content is available, no embargo periods.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud