Beyond the numbers: Impact of obesity on obstetric anal sphincter injury (OASI) outcomes in women.
OASI clinic
anatomical defects
body mass index (BMI)
endoanal manometry
endoanal ultrasound
obesity
obstetric anal sphincter injury (OASI)
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
21 Oct 2024
21 Oct 2024
Historique:
revised:
29
09
2024
received:
28
06
2024
accepted:
07
10
2024
medline:
21
10
2024
pubmed:
21
10
2024
entrez:
21
10
2024
Statut:
aheadofprint
Résumé
To compare the risk profiles, anatomical, and functional outcomes between obese and non-obese women who experienced obstetric anal sphincter injury (OASI). A retrospective electronic database study was conducted at Cork University Maternity Hospital (CUMH). Women with missing data/repairs conducted outside CUMH were excluded. Participants were categorized into obese (BMI ≥30 kg/m Among the 349 women included in the study, 285 (81.7%) had a BMI <30 kg/m Functional outcomes and manometry results did not differ, but non-obese women had higher rates of anatomical defects in OASI, requiring further study.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
Références
Harvey MA, Pierce M, Alter JE, et al. Obstetrical anal sphincter injuries (OASIS): prevention, recognition, and repair. J Obstet Gynaecol Can. 2015;37(12):1131‐1148. doi:10.1016/S1701-2163(16)30081-0
Dudding TC, Vaizey CJ, Kamm MA. Obstetric anal sphincter injury: incidence, risk factors, and management. Ann Surg. 2008;247(2):224‐237. doi:10.1097/SLA.0B013E318142CDF4
Irish Maternity Indicator System National Report. HSE Clinical Programme in Obstetrics and Gynaecology. 2022. Accessed May 29, 2024. https://www.google.com/search?q=Irish+Maternity+Indicator+System+National+Report+2022.+HSE+Clinical+Programme+in+Obstetrics+and+Gynaecology.+December+2023.&oq=Irish+Maternity+Indicator+System+National+Report+2022.+HSE+Clinical+Programme+in+Obstetrics+and+Gynaecology.+December+2023.&gs_lcrp=EgZjaHJvbWUqBggAEEUYOzIGCAAQRRg7MgYIARBFGDvSAQgxMTA4ajBqNKgCALACAQ&sourceid=chrome&ie=UTF‐8
Meldrum DR, Morris MA, Gambone JC. Obesity pandemic: causes, consequences, and solutions—but do we have the will? Fertil Steril. 2017;107(4):833‐839. doi:10.1016/J.FERTNSTERT.2017.02.104
Vitner D, Harris K, Maxwell C, Farine D. Obesity in pregnancy: a comparison of four national guidelines. J Matern Fetal Neonatal Med. 2019;32(15):2580‐2590. doi:10.1080/14767058.2018.1440546
Langley‐Evans SC, Pearce J, Ellis S. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: a narrative review. J Hum Nutr Diet. 2022;35(2):250‐264. doi:10.1111/JHN.12999
Yamasato K, Kimata C, Burlingame JM. Associations between maternal obesity and race, with obstetric anal sphincter injury: a retrospective cohort study. Hawaii J Med Public Health. 2019;78(1):8.
Blomberg M. Maternal body mass index and risk of obstetric anal sphincter injury. Biomed Res Int. 2014;2014:1‐8. doi:10.1155/2014/395803
Hjertberg L, Pihl S, Blomberg M, Uustal E. Body mass index and complications after obstetric anal sphincter injury, 8 weeks postpartum. Int Urogynecol J. 2022;33(12):3465‐3472. doi:10.1007/S00192-022-05328-W/TABLES/4
Third‐ and Fourth‐degree Perineal Tears, Management (Green‐top Guideline No. 29) | RCOG. Accessed June 12, 2024. https://www.rcog.org.uk/guidance/browse‐all‐guidance/green‐top‐guidelines/third‐and‐fourth‐degree‐perineal‐tears‐management‐green‐top‐guideline‐no‐29/
Norton C, Kamm MA. Anal sphincter biofeedback and pelvic floor exercises for faecal incontinence in adults—a systematic review. Aliment Pharmacol Ther. 2001;15(8):1147‐1154. doi:10.1046/J.1365-2036.2001.01039.X
Nolan CE, O'Leary BD, Ciprike V. Is the older perineum a safer perineum? Risk factors for obstetric anal sphincter injury. Ir J Med Sci. 2021;190(2):693‐699. doi:10.1007/S11845-020-02358-5/METRICS
Baruch Y, Gold R, Eisenberg H, et al. High incidence of obstetric anal sphincter injuries among immigrant women of Asian ethnicity. J Clin Med. 2023;12(3):1044. doi:10.3390/JCM12031044
Koliaki C, Dalamaga M, Liatis S. Update on the obesity epidemic: after the sudden rise, is the upward trajectory beginning to flatten? Curr Obes Rep. 2023;12(4):514‐527. doi:10.1007/S13679-023-00527-Y/FIGURES/2
Pierpont YN, Dinh TP, Salas RE, et al. Obesity and surgical wound healing: a current review. ISRN Obes. 2014;2014:1‐13. doi:10.1155/2014/638936
Conner SN, Verticchio JC, Tuuli MG, Odibo AO, Macones GA, Cahill AG. Maternal obesity and risk of post‐cesarean wound complications. Am J Perinatol. 2014;31(4):299‐304. doi:10.1055/S-0033-1348402
Marchi J, Berg M, Dencker A, Olander EK, Begley C. Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews. Obes Rev. 2015;16(8):621‐638. doi:10.1111/OBR.12288
Dickinson KJ, Pickersgill P, Anwar S. Functional and physiological outcomes following repair of obstetrics anal sphincter injury. A case. Int J Surg. 2013;11(10):1137‐1140. doi:10.1016/J.IJSU.2013.08.017
Roos AM, Thakar R, Sultan AH. Outcome of primary repair of obstetric anal sphincter injuries (OASIS): does the grade of tear matter? Ultrasound Obstet Gynecol. 2010;36(3):368‐374. doi:10.1002/UOG.7512
Papaconstantinou HT. Evaluation of anal incontinence: minimal approach, maximal effectiveness. Clin Colon Rectal Surg. 2005;18(1):9‐16. doi:10.1055/S-2005-864076
Sioutis D, Thakar R, Sultan AH. Overdiagnosis and rising rate of obstetric anal sphincter injuries (OASIS): time for reappraisal. Ultrasound Obstet Gynecol. 2017;50(5):642‐647. doi:10.1002/UOG.17306