产科肛门括约肌损伤（OASI）诊所：有产科肛门括约肌损伤史的妇女的产后和随后的产前管理

Q3 Medicine

Obstetrics, Gynaecology and Reproductive Medicine Pub Date : 2025-02-01 DOI:10.1016/j.ogrm.2024.11.004

Kathy Parsons, Matthew Parsons

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引用次数: 0

摘要

产科肛门括约肌损伤（OASI）发生在约6.1%的首次阴道分娩和约5-7%的后续阴道分娩。多学科的OASI诊所在产后和随后的产前管理中起着至关重要的作用。这篇综述将概述最近发生OASI的妇女的门诊产后管理的推荐最佳做法，以及OASI后妊娠的分娩方式推荐的现行指南。它将探讨支持当前实践建议的证据，以促进临床医生为以前有OASI的妇女领导分娩模式的讨论。

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The obstetric anal sphincter injury (OASI) clinic: postnatal and subsequent antenatal management of women with a history of obstetric anal sphincter injury

Obstetric anal sphincter injuries (OASI) occur in around 6.1% of first vaginal births and around 5–7% of subsequent vaginal births. The multidisciplinary OASI clinic plays a vital role in the postnatal, and subsequent antenatal, management of women with a history of OASI. This review will outline the recommended best practice for the outpatient postnatal management of women who have sustained a recent OASI and also the current guidance on mode of birth recommendations in a subsequent pregnancy after an OASI. It will explore the evidence supporting current practice recommendations to facilitate clinicians leading mode of birth discussions for women with a previous OASI.

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来源期刊

Obstetrics, Gynaecology and Reproductive Medicine Medicine-Obstetrics and Gynecology

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.