Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries
Please cite this paper as: Baghestan E, Irgens L, Børdahl P, Rasmussen S. Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries. BJOG 2012;119:62–69. Objective To investigate the recurrence risk, the likelihood of having further deliveries and mode of delivery after thi...
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| description | Please cite this paper as: Baghestan E, Irgens L, Børdahl P, Rasmussen S. Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries. BJOG 2012;119:62–69.
Objective To investigate the recurrence risk, the likelihood of having further deliveries and mode of delivery after third to fourth degree obstetric anal sphincter injuries (OASIS).
Design Population‐based cohort study.
Setting The Medical Birth Registry of Norway.
Population A cohort of 828 864 mothers with singleton, vertex‐presenting infants, weighing 500 g or more, during the period 1967–2004.
Methods Comparison of women with and without a history of OASIS with respect to the occurrence of OASIS, subsequent delivery rate and planned caesarean rate.
Main outcome measures OASIS in second and third deliveries, subsequent delivery rate and mode of delivery.
Results Adjusted odds ratios of the recurrence of OASIS in women with a history of OASIS in the first, and in both the first and second deliveries, were 4.2 (95% CI 3.9–4.5; 5.6%) and 10.6 (95% CI 6.2–18.1; 9.5%), respectively, relative to women without a history of OASIS. Instrumental deliveries, in particular forceps deliveries, birthweights of 3500 g or more and large maternity units were associated with a recurrence of OASIS. Instrumental delivery did not further increase the excess recurrence risk associated with high birthweight. A man who fathered a child whose delivery was complicated by OASIS was more likely to father another child whose delivery was complicated by OASIS in another woman who gave birth in the same maternity unit (adjusted OR 2.1; 95% CI 1.2–3.7; 5.6%). However, if the deliveries took place in different maternity units, the recurrence risk was not significantly increased (OR 1.3; 95% CI 0.8–2.1; 4.4%). The subsequent delivery rate was not different in women with and without previous OASIS, whereas women with a previous OASIS were more often scheduled to caesarean delivery.
Conclusion Recurrence risks in second and third deliveries were high. A history of OASIS had little or no impact on the rates of subsequent deliveries. Women with previous OASIS were delivered more frequently by planned caesarean delivery. |
| doi_str_mv | 10.1111/j.1471-0528.2011.03150.x |
| format | Article |
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Objective To investigate the recurrence risk, the likelihood of having further deliveries and mode of delivery after third to fourth degree obstetric anal sphincter injuries (OASIS).
Design Population‐based cohort study.
Setting The Medical Birth Registry of Norway.
Population A cohort of 828 864 mothers with singleton, vertex‐presenting infants, weighing 500 g or more, during the period 1967–2004.
Methods Comparison of women with and without a history of OASIS with respect to the occurrence of OASIS, subsequent delivery rate and planned caesarean rate.
Main outcome measures OASIS in second and third deliveries, subsequent delivery rate and mode of delivery.
Results Adjusted odds ratios of the recurrence of OASIS in women with a history of OASIS in the first, and in both the first and second deliveries, were 4.2 (95% CI 3.9–4.5; 5.6%) and 10.6 (95% CI 6.2–18.1; 9.5%), respectively, relative to women without a history of OASIS. Instrumental deliveries, in particular forceps deliveries, birthweights of 3500 g or more and large maternity units were associated with a recurrence of OASIS. Instrumental delivery did not further increase the excess recurrence risk associated with high birthweight. A man who fathered a child whose delivery was complicated by OASIS was more likely to father another child whose delivery was complicated by OASIS in another woman who gave birth in the same maternity unit (adjusted OR 2.1; 95% CI 1.2–3.7; 5.6%). However, if the deliveries took place in different maternity units, the recurrence risk was not significantly increased (OR 1.3; 95% CI 0.8–2.1; 4.4%). The subsequent delivery rate was not different in women with and without previous OASIS, whereas women with a previous OASIS were more often scheduled to caesarean delivery.
Conclusion Recurrence risks in second and third deliveries were high. A history of OASIS had little or no impact on the rates of subsequent deliveries. Women with previous OASIS were delivered more frequently by planned caesarean delivery.</description><identifier>ISSN: 1470-0328</identifier><identifier>EISSN: 1471-0528</identifier><identifier>DOI: 10.1111/j.1471-0528.2011.03150.x</identifier><identifier>PMID: 21985470</identifier><identifier>CODEN: BIOGFQ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Anal Canal - injuries ; Biological and medical sciences ; Birth Intervals - statistics & numerical data ; Caesarean ; Cesarean Section - statistics & numerical data ; Childbirth & labor ; Delivery. Postpartum. Lactation ; Female ; fertility ; Gynecology. Andrology. Obstetrics ; Humans ; Injuries ; Lacerations - epidemiology ; Maternal Age ; Medical sciences ; Norway - epidemiology ; Obstetric Labor Complications - epidemiology ; Obstetrical Forceps - statistics & numerical data ; Obstetrics ; Pregnancy ; Recurrence ; Registries ; Risk Factors ; sphincter injuries ; subsequent delivery ; Vacuum Extraction, Obstetrical - statistics & numerical data ; Young Adult</subject><ispartof>BJOG : an international journal of obstetrics and gynaecology, 2012-01, Vol.119 (1), p.62-69</ispartof><rights>2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG</rights><rights>2015 INIST-CNRS</rights><rights>2011 The Authors BJOG An International Journal of Obstetrics and Gynaecology © 2011 RCOG.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5130-a6e203660cd98b98f896db95fd28c681fae1a7ce4ee75e0d1f161d28764378ca3</citedby><cites>FETCH-LOGICAL-c5130-a6e203660cd98b98f896db95fd28c681fae1a7ce4ee75e0d1f161d28764378ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1471-0528.2011.03150.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1471-0528.2011.03150.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,27923,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25253302$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21985470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baghestan, E</creatorcontrib><creatorcontrib>Irgens, LM</creatorcontrib><creatorcontrib>Børdahl, PE</creatorcontrib><creatorcontrib>Rasmussen, S</creatorcontrib><title>Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries</title><title>BJOG : an international journal of obstetrics and gynaecology</title><addtitle>BJOG</addtitle><description>Please cite this paper as: Baghestan E, Irgens L, Børdahl P, Rasmussen S. Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries. BJOG 2012;119:62–69.
Objective To investigate the recurrence risk, the likelihood of having further deliveries and mode of delivery after third to fourth degree obstetric anal sphincter injuries (OASIS).
Design Population‐based cohort study.
Setting The Medical Birth Registry of Norway.
Population A cohort of 828 864 mothers with singleton, vertex‐presenting infants, weighing 500 g or more, during the period 1967–2004.
Methods Comparison of women with and without a history of OASIS with respect to the occurrence of OASIS, subsequent delivery rate and planned caesarean rate.
Main outcome measures OASIS in second and third deliveries, subsequent delivery rate and mode of delivery.
Results Adjusted odds ratios of the recurrence of OASIS in women with a history of OASIS in the first, and in both the first and second deliveries, were 4.2 (95% CI 3.9–4.5; 5.6%) and 10.6 (95% CI 6.2–18.1; 9.5%), respectively, relative to women without a history of OASIS. Instrumental deliveries, in particular forceps deliveries, birthweights of 3500 g or more and large maternity units were associated with a recurrence of OASIS. Instrumental delivery did not further increase the excess recurrence risk associated with high birthweight. A man who fathered a child whose delivery was complicated by OASIS was more likely to father another child whose delivery was complicated by OASIS in another woman who gave birth in the same maternity unit (adjusted OR 2.1; 95% CI 1.2–3.7; 5.6%). However, if the deliveries took place in different maternity units, the recurrence risk was not significantly increased (OR 1.3; 95% CI 0.8–2.1; 4.4%). The subsequent delivery rate was not different in women with and without previous OASIS, whereas women with a previous OASIS were more often scheduled to caesarean delivery.
Conclusion Recurrence risks in second and third deliveries were high. A history of OASIS had little or no impact on the rates of subsequent deliveries. Women with previous OASIS were delivered more frequently by planned caesarean delivery.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anal Canal - injuries</subject><subject>Biological and medical sciences</subject><subject>Birth Intervals - statistics & numerical data</subject><subject>Caesarean</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Childbirth & labor</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>fertility</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Injuries</subject><subject>Lacerations - epidemiology</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Norway - epidemiology</subject><subject>Obstetric Labor Complications - epidemiology</subject><subject>Obstetrical Forceps - statistics & numerical data</subject><subject>Obstetrics</subject><subject>Pregnancy</subject><subject>Recurrence</subject><subject>Registries</subject><subject>Risk Factors</subject><subject>sphincter injuries</subject><subject>subsequent delivery</subject><subject>Vacuum Extraction, Obstetrical - statistics & numerical data</subject><subject>Young Adult</subject><issn>1470-0328</issn><issn>1471-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1u1DAUhS1ERUvhFZCFhFgl9Y3HjrNgQSsoVCOqVvxIbCzHuRZOM8lgJzDz9jid6SCxwhtf6Xzn6viYEAosh3TO2hwWJWRMFCovGEDOOAiWbx6Rk4Pw-H5mGeOFOiZPY2wZA1kw_oQcF1ApkcQTcnvr4x0dHA1opxCwt0hN39A41RF_TtiPtMHO_8KwpcaNGOhQxxHH4G3iTEfj-ofv7Sz4vp2Cx_iMHDnTRXy-v0_Jl_fvPl98yJbXlx8v3i4zK4CzzEhMYaRktqlUXSmnKtnUlXBNoaxU4AyCKS0uEEuBrAEHEpJWygUvlTX8lLze7V2HISWNo175aLHrTI_DFHUFUC2kYCyRL_8h22EKKf0MsbJSvBQJUjvIhiHGgE6vg1-ZsNXA9Ny6bvVcrp7L1XPr-r51vUnWF_v9U73C5mB8qDkBr_aAidZ0Lpje-viXE4XgnBWJe7PjfvsOt_8dQJ9fXc9T8mc7v09_tDn4TbjTskyP1N8-XeqlUOL7zc1XXfI_geesNQ</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Baghestan, E</creator><creator>Irgens, LM</creator><creator>Børdahl, PE</creator><creator>Rasmussen, S</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries</title><author>Baghestan, E ; Irgens, LM ; Børdahl, PE ; Rasmussen, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5130-a6e203660cd98b98f896db95fd28c681fae1a7ce4ee75e0d1f161d28764378ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anal Canal - injuries</topic><topic>Biological and medical sciences</topic><topic>Birth Intervals - statistics & numerical data</topic><topic>Caesarean</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Childbirth & labor</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>fertility</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Injuries</topic><topic>Lacerations - epidemiology</topic><topic>Maternal Age</topic><topic>Medical sciences</topic><topic>Norway - epidemiology</topic><topic>Obstetric Labor Complications - epidemiology</topic><topic>Obstetrical Forceps - statistics & numerical data</topic><topic>Obstetrics</topic><topic>Pregnancy</topic><topic>Recurrence</topic><topic>Registries</topic><topic>Risk Factors</topic><topic>sphincter injuries</topic><topic>subsequent delivery</topic><topic>Vacuum Extraction, Obstetrical - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baghestan, E</creatorcontrib><creatorcontrib>Irgens, LM</creatorcontrib><creatorcontrib>Børdahl, PE</creatorcontrib><creatorcontrib>Rasmussen, S</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baghestan, E</au><au>Irgens, LM</au><au>Børdahl, PE</au><au>Rasmussen, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries</atitle><jtitle>BJOG : an international journal of obstetrics and gynaecology</jtitle><addtitle>BJOG</addtitle><date>2012-01</date><risdate>2012</risdate><volume>119</volume><issue>1</issue><spage>62</spage><epage>69</epage><pages>62-69</pages><issn>1470-0328</issn><eissn>1471-0528</eissn><coden>BIOGFQ</coden><abstract>Please cite this paper as: Baghestan E, Irgens L, Børdahl P, Rasmussen S. Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries. BJOG 2012;119:62–69.
Objective To investigate the recurrence risk, the likelihood of having further deliveries and mode of delivery after third to fourth degree obstetric anal sphincter injuries (OASIS).
Design Population‐based cohort study.
Setting The Medical Birth Registry of Norway.
Population A cohort of 828 864 mothers with singleton, vertex‐presenting infants, weighing 500 g or more, during the period 1967–2004.
Methods Comparison of women with and without a history of OASIS with respect to the occurrence of OASIS, subsequent delivery rate and planned caesarean rate.
Main outcome measures OASIS in second and third deliveries, subsequent delivery rate and mode of delivery.
Results Adjusted odds ratios of the recurrence of OASIS in women with a history of OASIS in the first, and in both the first and second deliveries, were 4.2 (95% CI 3.9–4.5; 5.6%) and 10.6 (95% CI 6.2–18.1; 9.5%), respectively, relative to women without a history of OASIS. Instrumental deliveries, in particular forceps deliveries, birthweights of 3500 g or more and large maternity units were associated with a recurrence of OASIS. Instrumental delivery did not further increase the excess recurrence risk associated with high birthweight. A man who fathered a child whose delivery was complicated by OASIS was more likely to father another child whose delivery was complicated by OASIS in another woman who gave birth in the same maternity unit (adjusted OR 2.1; 95% CI 1.2–3.7; 5.6%). However, if the deliveries took place in different maternity units, the recurrence risk was not significantly increased (OR 1.3; 95% CI 0.8–2.1; 4.4%). The subsequent delivery rate was not different in women with and without previous OASIS, whereas women with a previous OASIS were more often scheduled to caesarean delivery.
Conclusion Recurrence risks in second and third deliveries were high. A history of OASIS had little or no impact on the rates of subsequent deliveries. Women with previous OASIS were delivered more frequently by planned caesarean delivery.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21985470</pmid><doi>10.1111/j.1471-0528.2011.03150.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adolescent Adult Anal Canal - injuries Biological and medical sciences Birth Intervals - statistics & numerical data Caesarean Cesarean Section - statistics & numerical data Childbirth & labor Delivery. Postpartum. Lactation Female fertility Gynecology. Andrology. Obstetrics Humans Injuries Lacerations - epidemiology Maternal Age Medical sciences Norway - epidemiology Obstetric Labor Complications - epidemiology Obstetrical Forceps - statistics & numerical data Obstetrics Pregnancy Recurrence Registries Risk Factors sphincter injuries subsequent delivery Vacuum Extraction, Obstetrical - statistics & numerical data Young Adult |
| title | Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries |
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