Impact of liberal use of mediolateral episiotomy on the incidence of obstetric anal sphincter tear

2012 ◽  
Vol 286 (3) ◽  
pp. 591-597 ◽  
Author(s):  
Noah Zafran ◽  
Raed Salim
Keyword(s):  
Anal Sphincter ◽  
Mediolateral Episiotomy ◽  
Anal Sphincter Tear

Impact of mediolateral episiotomy on incidence of obstetrical anal sphincter injury diagnosed by endoanal ultrasound

Midwifery ◽  
2017 ◽  
Vol 51 ◽  
pp. 40-43 ◽  
Author(s):  
Kristina Drusany Staric ◽  
Adolf Lukanovic ◽  
Petra Petrocnik ◽  
Vita Zacesta ◽  
Corrado Cescon ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Endoanal Ultrasound ◽  
Sphincter Injury ◽  
Mediolateral Episiotomy ◽  
Anal Sphincter Injury ◽  
Obstetrical Anal Sphincter Injury

Risk Factors for Anal Sphincter Tear During Vaginal Delivery

2007 ◽  
Vol 109 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Mary P. FitzGerald ◽  
Anne M. Weber ◽  
Nancy Howden ◽  
Geoffrey W. Cundiff ◽  
Mort B. Brown
Keyword(s):  
Risk Factors ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Anal Sphincter Tear

Obstetric Anal Sphincter Tear

2019 ◽  
pp. 59-63
Author(s):  
Søren Laurberg ◽  
Karl Møller Bek
Keyword(s):  
Anal Sphincter ◽  
Anal Sphincter Tear

scholarly journals A core outcome set development for a French national prospective study about the effect of mediolateral episiotomy on obstetric anal sphincter injury during operative vaginal delivery (INSTRUMODA)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bertrand Gachon ◽  
◽  
Thomas Schmitz ◽  
France Artzner ◽  
Olivier Parant ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Maternal Morbidity ◽  
Core Outcome Set ◽  
Core Outcome ◽  
Operative Delivery ◽  
Sphincter Injury ◽  
Mediolateral Episiotomy ◽  
Anal Sphincter Injury ◽  
Outcome Set ◽  
One Year

Abstract Background We aimed at developing a core outcome and variables of interest set to investigate the effects of mediolateral episiotomy on Obstetric Anal Sphincter Injury (OASI) during and after operative delivery in nulliparous women in a large-scale one-year observational French study including 15,000 women (INSTRUMODA). Methods A list of outcomes and variables of interest was suggested to obstetricians participating in the INSTRUMODA study using online questionnaires divided into 7 categories: the woman’s history and course of pregnancy, course of labor, modalities of operative delivery, episiotomy characteristics, immediate maternal morbidity, one-year maternal morbidity, immediate neonatal morbidity. We used a three-round DELPHI method to reach a consensus. In the first round, outcomes and variables considered as essential by 70% or more of obstetricians were included in the corpus whereas they were excluded when 70% rated them as “not important”. In the second round, non-consensual outcomes and variables were reassessed and excluded or definitively included if considered as “not important” or essential by 50% or more of the obstetricians. During the first round, obstetricians were invited to suggest new outcomes and/or variables that were then assessed in the second and third round. We used the same method to develop a core outcome and variables of interest set in a population of women in the community recruited via an association of patients. At the end of the procedure the core outcome and variables of interest sets were merged to provide the final core outcome set for the INSTRUMODA study. Results Fifty-three obstetricians and 16 women filled out questionnaires. After the 3 rounds of Delphi procedure in each population, 74 outcomes and variables were consensually reported by obstetricians and 92 by women in the community. By mixing these two consensual corpora we reported a final consensual list of 114 variables of interest and outcomes for both obstetricians and women. Conclusion We established a core outcome and variables of interest set among obstetricians and women in the community to investigate the association between mediolateral episiotomy and OASI during operative delivery. Trial registration The INSTRUMODA study was registered on https://clinicaltrials.gov on June 25, 2020 (NCT04446780).

scholarly journals Delivery after an obstetric anal sphincter tear

2020 ◽  
Vol 301 (6) ◽  
pp. 1479-1484
Author(s):  
J. Pirhonen ◽  
K. Haadem ◽  
M. Gissler
Keyword(s):  
Anal Sphincter ◽  
Anal Sphincter Tear
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