New approach to the evaluation of perineal measurements to predict the likelihood of the need for an episiotomy
| Autor: | Evdochia Adoamnei, Jaime Mendiola, María Luisa Sánchez-Ferrer, Luis C Moya-Jiménez |
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| Rok vydání: | 2018 |
| Předmět: |
Episiotomy
Adult medicine.medical_specialty Urology medicine.medical_treatment Clinical Decision-Making 030232 urology & nephrology Anal Canal Perineum Clitoris 03 medical and health sciences 0302 clinical medicine Labor Stage Second Pregnancy Risk Factors medicine Humans Prospective Studies Prospective cohort study 030219 obstetrics & reproductive medicine Receiver operating characteristic Obstetrics business.industry Vaginal delivery Anogenital distance Obstetrics and Gynecology Anthropometry Anus medicine.anatomical_structure Case-Control Studies Female business |
| Zdroj: | International urogynecology journal. 30(5) |
| ISSN: | 1433-3023 |
| Popis: | Episiotomy is performed selectively during vaginal delivery. Among the maternal anthropometric factors for episiotomy, the length of the perineal body (pb) and genital hiatus (gh) defined as per the POP-Q system have been studied. The objective of our study was to compare two perineal measurements (defined as per the POP-Q system and the anogenital distance [AGD] concept) to determine which of these can predict the likelihood of an episiotomy being performed. An observational prospective cohort study was designed. Anthropometric data (pb, gh, symphysis–coccyx distance, distance between ischial tuberosities, AGDaf [anus–fourchette], and AGDac [anus–clitoris]), duration of the second stage of labor, and neonatal biometric data were collected from 119 women included in this study. Statistical analysis was performed using Student’s t test for unpaired data, Mann–Whitney, and Chi-squared tests. Receiver operating characteristic (ROC) curves were generated to compare AGDaf, AGDac, and “gh + pb” with the presence of episiotomy. A shorter “gh + pb” length and AGDac were risk factors for episiotomy. Compared with AGDac, gh + pb was a slightly better predictor in ROC curve analysis. Furthermore, a longer duration of second-stage labor was evident in the episiotomy group. This study introduces measures of AGD as risk factors for episiotomy. We propose that “gh + pb” length |
| Databáze: | OpenAIRE |
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