دورية أكاديمية
A Postpartum Perineal Clinic in Nova Scotia: Characteristics Associated With Attendance and Its Association With Recurrent Obstetrical Anal Sphincter Tears.
| العنوان: | A Postpartum Perineal Clinic in Nova Scotia: Characteristics Associated With Attendance and Its Association With Recurrent Obstetrical Anal Sphincter Tears. |
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| المؤلفون: | Sullivan M; Faculty of Medicine, Dalhousie University, Halifax, NS., Woolcott CG; Department of Obstetrics and Gynaecology and Pediatrics, Dalhousie University, Halifax, NS., Pollard E; IWK Health, Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS; Cambridge Memorial Hospital, Department of Obstetrics and Gynecology, McMaster University, Cambridge, ON., Smith A; IWK Health, Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, NS. Electronic address: Anita.Smith@iwk.nshealth.ca. |
| المصدر: | Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC [J Obstet Gynaecol Can] 2024 Aug; Vol. 46 (8), pp. 102578. Date of Electronic Publication: 2024 Jun 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101126664 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1701-2163 (Print) Linking ISSN: 17012163 NLM ISO Abbreviation: J Obstet Gynaecol Can Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Amsterdam : Elsevier Original Publication: Toronto, Ont. : Healthcare & Financial Pub., Rogers Media, c2001- |
| مواضيع طبية MeSH: | Anal Canal*/injuries , Recurrence* , Perineum*/injuries, Humans ; Female ; Adult ; Retrospective Studies ; Nova Scotia/epidemiology ; Pregnancy ; Obstetric Labor Complications/epidemiology ; Young Adult ; Lacerations/epidemiology ; Ambulatory Care Facilities/statistics & numerical data |
| مستخلص: | Objectives: The Healthy Recovery after Childbirth Clinic (HRCC) in Nova Scotia provides postpartum care to patients who experience obstetric anal sphincter injuries (OASIS). The purpose of this study was to describe characteristics associated with HRCC attendance, characteristics associated with a trial of labour in a subsequent delivery, and OASIS recurrence by HRCC attendance status. Methods: A retrospective cohort study using the Atlee Perinatal Database and clinical record review included primiparous individuals who sustained an OASIS at IWK Health in Halifax between 2013 and 2020. The χ 2 and Fisher exact tests were performed to compare groups. Results: Of the 1041 individuals included, 67% attended HRCC. Attendance increased from 58% in 2013-2015 to 77% in 2019-2020. Younger age (<25 years) and smoking were associated with lower HRCC attendance (P = 0.07 and <0.01, respectively). Other characteristics, including area-level income and driving distance to HRCC, were not associated with attendance (P > 0.05). Of the 439 individuals who had a subsequent delivery, 92% had a trial of labour. Individuals with fourth-degree injury were less likely to attempt a trial of labour than those with third-degree injury (73% vs. 94%, P < 0.01). Of those who delivered vaginally, OASIS recurrence was similar in those who did and did not attend the HRCC (7.5% vs. 6.5%, P = 0.84). Conclusions: HRCC attendance was high, but the disparity by age and smoking status suggests some barriers to access that should be explored. Although we found no difference in OASIS recurrence by HRCC attendance, more research with larger samples with adjustment for confounders is needed. (Copyright © 2024 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: obstetrical anal sphincter injuries; pelvic floor dysfunction; postpartum perineal clinic; recurrence |
| تواريخ الأحداث: | Date Created: 20240609 Date Completed: 20240825 Latest Revision: 20240825 |
| رمز التحديث: | 20240826 |
| DOI: | 10.1016/j.jogc.2024.102578 |
| PMID: | 38852809 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1701-2163 |
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| DOI: | 10.1016/j.jogc.2024.102578 |