A comparative study of obstetric anal sphincter injuries in vaginal deliveries of twins and singleton pregnancies

Doumouchtsis, Stergios K.; Fahmay, Youstina; Sedgwick, Philip; Durnea, Constantin M.

doi:10.1002/nau.23727

Neurourology and Urodynamics

2018

DOI: 10.1002/nau.23727

|View full text |Cite

A comparative study of obstetric anal sphincter injuries in vaginal deliveries of twins and singleton pregnancies

Stergios K. Doumouchtsis

Youstina Fahmay

Philip Sedgwick

et al.

Abstract: Women delivering twins vaginally were not at a significantly higher risk of sustaining OASIS compared to those delivering singletons.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2023

Publication Types

Select...

Preprint1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

(1 citation statement)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…and 32 studies were single centre studies(11,17,29,30,31,32,33,34,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69). 29 studies took place in a university or teaching hospital setting,(11,17,27,28,30,32,33,34,45,46,47,49,51,52,53,54,55,56,57,58,…”

mentioning

confidence: 99%

Is Cesarean Section Protective against Anal Incontinence in Women after Obstetric Anal Sphincter Injury (OASI)? A Systematic Review and Meta-Analysis

Carter,

Hall,

Ajoku

et al. 2023

Preprint

View full text Add to dashboard Cite

Objective: Approximately 50% women who give birth after Obstetric Anal Sphincter Injury (OASI) develop anal incontinence (AI) over their lifetime. We review current evidence for protective benefit of planned cesarean section (CS) to prevent AI after OASI. Design and setting: Systematic review and meta-analysis according to prospectively published methodology. Population and methods: All studies reporting outcomes after an OASI and subsequent birth by any mode. Main outcome measures: AI measurement after OASI and subsequent birth. Total AI, new/worsening AI, quality of life, satisfaction, regret. Results: 86 of 2472 screened studies met inclusion criteria. All studies contributing to meta-analyses were at high risk of bias. There was no evidence of difference in new or worsening AI after subsequent vaginal birth (VB) compared to subsequent CS after OASI across all time periods (p=0.53: CI 0.72-1.19; 9 studies, 2104 participants); ≤2y (p=0.83: CI 0.65-1.72; 7 studies, 569 participants) or ≥5y after subsequent birth (p=0.39: CI 0.65-1.18; 2 studies; 1535 participants). There was no difference between subsequent CS or VB in asymptomatic women or for other AI or QOL outcomes. There was no evidence of difference in AI in women who subsequently delivered vs those who did not (p=0.9: CI 0.71-1.34; 10 studies, 970 participants); or pre- subsequent birth vs post-subsequent birth (p=0.31; CI 0.51-1.25, 13 studies, 5496 participants). Conclusions: Due to evidence quality (majority non-randomised studies) we are unable to determine whether planned cesarean is protective against AI after OASI. Higher quality data is required to guide practice in this area, specifically in asymptomatic women and for long-term outcomes.

show abstract

mentioning

confidence: 99%

Is Cesarean Section Protective against Anal Incontinence in Women after Obstetric Anal Sphincter Injury (OASI)? A Systematic Review and Meta-Analysis

Carter,

Hall,

Ajoku

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

A comparative study of obstetric anal sphincter injuries in vaginal deliveries of twins and singleton pregnancies

Abstract: Women delivering twins vaginally were not at a significantly higher risk of sustaining OASIS compared to those delivering singletons.

Cited by 1 publication

References 25 publications

Is Cesarean Section Protective against Anal Incontinence in Women after Obstetric Anal Sphincter Injury (OASI)? A Systematic Review and Meta-Analysis

Is Cesarean Section Protective against Anal Incontinence in Women after Obstetric Anal Sphincter Injury (OASI)? A Systematic Review and Meta-Analysis

Contact Info

Product

Resources

About