Titre :

Is sonographic measurement of head-perineum distance useful to predict obstetrical anal sphincter injury in case of vacuum delivery?

Auteur(s) :

Garabedian, Charles [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Plurien, Alix [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Benoit, Laure [Auteur]
Service de gynécologie et obstétrique [CHI Poissy-Saint Germain]
Kyheng, MaÉva [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Evaluation des technologies de santé et des pratiques médicales - ULR 2694 [METRICS]
Thuillier, Claire [Auteur]
Service de gynécologie et obstétrique [CHI Poissy-Saint Germain]
Sanchez, Maeva [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Turcsak, Anaïs [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Rozenberg, Patrick [Auteur]
Service de gynécologie et obstétrique [CHI Poissy-Saint Germain]
Berveiller, Paul [Auteur]
AP-HP. Université Paris Saclay
Service de gynécologie et obstétrique [CHI Poissy-Saint Germain]

Titre de la revue :

BJOG: An International Journal of Obstetrics and Gynaecology

Nom court de la revue :

Int J Gynaecol Obstet

Date de publication :

2022-03-12

ISSN :

1879-3479

Mot(s)-clé(s) en anglais :

head-perineum distance
OASIS
perineal tears
ultrasound
vacuum extraction

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Objective Determine if head-perineum distance (HPD) measurement before vacuum extraction (VE) was predictive of an obstetric anal sphincter injury (OASIS) occurrence. Methods Retrospective, bicentric (Lille and ...
Lire la suite >Objective Determine if head-perineum distance (HPD) measurement before vacuum extraction (VE) was predictive of an obstetric anal sphincter injury (OASIS) occurrence. Methods Retrospective, bicentric (Lille and Poissy, France) cohort study conducted from January 2019 to June 2020. All VE in singleton pregnancies of ≥34 weeks were included. HPD measurement was performed without compression of the tissues before each VE. The judgment criterion was the occurrence of an OASIS. Results Of 12 568 deliveries, VE was performed in 1093 (8.6%). Among these 1093 women undergoing VE, 675 (61.7%) with HPD measurement were included. OASIS was found in 6.5% of women (n = 44; 95% CI 4.5–8.7). HPD was not associated with OASIS (38.5 ± 12.6 mm in women with OASIS vs 37.4 ± 12.0 mm in women without; adjusted OR [aOR] per 5 mm increase = 0.92; 95% CI 0.79–1.06). Increased HPD was associated with higher risk of sequential extraction (aOR = 1.19; 95% CI 1.06–1.32), extraction duration >10 min (aOR = 1.12; 95% CI 1.02–1.23) and shoulder dystocia (aOR = 1.20; 95% CI 1.03–1.40). Conclusion Ultrasound-measured head-perineum distance does not predict the occurrence of obstetric anal sphincter injury during a VE. The interest of HPD is more about predicting the success or difficulty of VE rather its specific complications.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T04:30:53Z
2024-01-11T13:02:31Z