Association between severities of striae gravidarum and Obstetric Anal Sphincter Injuries (OASIS)

Halperin, Ofra; Noble, Anita; Balachsan, Shosh; Klug, E.; Liebergall-Wischnitzer, Michal

doi:10.1016/j.midw.2017.07.019

Cited by 13 publications

(12 citation statements)

References 22 publications

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“…The questionnaires were used in different types of studies, including cohort, 12 , 14 , 17 – 21 , 23 , 25 , 27 , 31 – 33 , 35 – 40 , 43 cross-sectional, 11 , 13 , 16 , 24 , 26 , 29 , 34 , 41 , 42 pilot study, 15 case–control, 30 and randomized clinical trials. 22 , 28 …”

Section: Resultsmentioning

confidence: 99%

Questionnaires to evaluate pelvic floor dysfunction in the postpartum period: a systematic review

Zuchelo¹,

Bezerra²,

Silva³

et al. 2018

IJWH

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BackgroundPelvic floor dysfunctions (PFDs) affect the female population, and the postpartum period can be related to the onset or aggravation of the disease. Early identification of the symptoms and the impact on quality of life can be achieved through assessment instruments.ObjectiveThe purpose of this systematic review is to evaluate questionnaires used to assess PFD in the postpartum period.MethodsA systematic review study was conducted, following Preferred Reporting Items for the Systematic Reviews and Meta-Analyses (PRISMA) criteria, using the databases: PubMed, Biblioteca Virtual de Saúde (BVS), Web of Science, and Scopus, and the keywords PFD or pelvic floor disorders, postpartum or puerperium, and questionnaire. Articles published up till May 2018 were included, searching for articles using validated questionnaires for the evaluation of PFDs in postpartum women. The articles included were evaluated according to a checklist, and the validation studies and translated versions of the questionnaires were identified.ResultsThe search of the databases resulted in 359 papers, and 33 were selected to compose this systematic review, using nine validated questionnaires to assess PFDs in the postpartum period: International Consultation on Incontinence Questionnaire – Vaginal Symptoms (ICIQ-VS), Pelvic Floor Distress Inventory 20 (PFDI-20), Pelvic Floor Impact Questionnaire (PFIQ-7), PFDI-46, Pelvic Floor Impact Questionnaire (PFIQ-31), Pelvic Floor Bother Questionnaire (PFBQ), Female Pelvic Floor Questionnaire, electronic Personal Assessment Questionnaire – Pelvic Floor, and PFD questionnaire specific for pregnancy and postpartum. The most frequently reported questionnaires included PFDI-20, PFIQ-7, and ICIQ-VS and are recommended by ICI. In addition, the review identified a specific questionnaire, recently developed, to access PFD during pregnancy and postpartum.ConclusionThe questionnaires used to evaluate PFD during postpartum period are developed for general population or urology/gynecology patients with incontinence and reinforce the paucity of highly recommended questionnaires designed for postpartum, in order to improve early and specific approach for this period of life.

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Section: Resultsmentioning

confidence: 99%

Questionnaires to evaluate pelvic floor dysfunction in the postpartum period: a systematic review

Zuchelo¹,

Bezerra²,

Silva³

et al. 2018

IJWH

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“…The severity of SG is classified by number, color, and area of striae [ 3 , 16 ]. However, the severity of SG, while very concerning for patients, is not considered a medical condition that requires routine follow-up [ 19 ]. Our study supports this practice.…”

Section: Discussionmentioning

confidence: 99%

The association between striae gravidarum and perineal lacerations during labor

et al. 2022

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Objective Striae gravidarum (SG) and perineal lacerations are common occurrences during late pregnancy and labor. It has been hypothesized that both conditions may share a common pathophysiological pathway through changes in the connective tissue. We aimed to investigate a possible association between these two conditions and whether the presence of SG may predict perineal lacerations. Methods We conducted a prospective cohort study that included women who gave birth at the Soroka University Medical Center (SUMC), Beer-Sheva, Israel. Those who provided informed consent were examined for the presence of SG using the Davey scoring system to determine the severity of abdominal SG. Clinical and obstetrical characteristics and the presence and degree of perineal tears were retrieved from the computerized patients’ records. Univariate analysis was carried using appropriate statistical tests. Results A total of 187 women were recruited. Of those, 81 (43.3%) did not have SG, 24 (12.8%) 43 (23%) and 39 (20.9%) had mild, moderate and severe SG, respectively. Women with SG were significantly older and had a higher body mass index (p<0.01 for both). Delivery characteristics, mode of delivery, and gestational age were comparable between the groups; however, women with SG gave birth to significantly larger neonates (p<0.01). Seventy-one (31%) women had suffered from 1st or 2nd-degree perineal tears, and none had 3rd or 4th-degree perineal tears. No significant differences were found in rates of perineal tears between women with and without SG (p = 0.91), regardless of SG severity (p = 0.38). Conclusions In our study, SG was not associated with perineal tears. This information may be used as reassurance when giving antepartum consultation to women with SG, even in severe cases.

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“…Poor skin elasticity has also been introduced as a predictor of perineal trauma,[ 1 ] and the occurrence of striae in pregnancy is associated with poor skin elasticity. [ 26 ] Striae gravidarum indicates the skin's ability to stretch and amounts of elastic fibers and collagen within it[ 27 ] and is caused by changes in connective tissue, and a decrease in amounts of elastin and fibrillin in the skin[ 24 25 ] is along with the influence of hormonal factors. [ 21 28 29 ] Numerous studies have investigated the relationship between the occurrence of striae gravidarum and an increase in perineal damages.…”

Section: Introductionmentioning

confidence: 99%

The relationship between perineal trauma and striae gravidarum: A systematic review and meta-analysis

Khamseh

Zagami

Ghavami

2022

Iranian J Nursing Midwifery Res

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Association between severities of striae gravidarum and Obstetric Anal Sphincter Injuries (OASIS)

Cited by 13 publications

References 22 publications

Questionnaires to evaluate pelvic floor dysfunction in the postpartum period: a systematic review

Questionnaires to evaluate pelvic floor dysfunction in the postpartum period: a systematic review

The association between striae gravidarum and perineal lacerations during labor

The relationship between perineal trauma and striae gravidarum: A systematic review and meta-analysis

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