Authors' response to: Risk factors of anal sphincter injury during delivery

2013 ◽  
Vol 120 (12) ◽  
pp. 1575-1576
Author(s):  
E Baghestan ◽  
S Rasmussen
Keyword(s):  
Risk Factors ◽  
Anal Sphincter ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

799: Risk factors for obstetric anal sphincter injury. To prolong or to vacuum?

2015 ◽  
Vol 212 (1) ◽  
pp. S387
Author(s):  
Gali Garmi ◽  
Noah Zafran ◽  
Sivan Zuarez-Easton ◽  
Meirav Braverman ◽  
Zohar Nachum ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

Risk factors for obstetric anal sphincter injury: To prolong or to vacuum?

Midwifery ◽  
2016 ◽  
Vol 34 ◽  
pp. 178-182 ◽  
Author(s):  
Gali Garmi ◽  
Hadar Peretz ◽  
Meirav Braverman ◽  
Ilanit Berkovich ◽  
Robert Molnar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Anal Sphincter ◽  
Obstetric Anal Sphincter Injury ◽  
Sphincter Injury ◽  
Anal Sphincter Injury

Anal Sphincter Injury Associated with Vaginal Twin Delivery

2019 ◽  
Vol 37 (11) ◽  
pp. 1134-1139
Author(s):  
Bobby D. O'Leary ◽  
Tariq Bholah ◽  
Tamara Kalisse ◽  
Mark P. Hehir ◽  
Michael P. Geary
Keyword(s):  
Risk Factors ◽  
Vaginal Delivery ◽  
Anal Sphincter ◽  
Univariate Analysis ◽  
Mode Of Delivery ◽  
Significant Risk ◽  
Sphincter Injury ◽  
Anal Sphincter Injury ◽  
Vaginal Deliveries ◽  
Twin Pregnancies

Abstract Objective Obstetric anal sphincter injury remains the most common cause of fecal incontinence in women, and research in twin pregnancies is sparse. This study aimed to examine risk factors for sphincter injury in twin deliveries over a 10-year period. Study Design This was a retrospective study of twin vaginal deliveries in a tertiary-level hospital over 10 years. We examined the demographics of women who had a vaginal delivery of at least one twin. Logistic regression analysis was used to examine risk factors. Results There were 1,783 (2.1%) twin pregnancies, of which 556 (31%) had a vaginal delivery of at least one twin. Sphincter injury occurred in 1.1% (6/556) women with twins compared with 2.9% (1720/59,944) singleton vaginal deliveries. Women with sphincter injury had more instrumental deliveries (83.3 vs. 27.6%; p = 0.008). On univariate analysis, only instrumental delivery was a significant risk factor (odds ratio: 2.93; p = 0.019). Conclusion Sphincter injury occurs at a lower rate in vaginal twin pregnancies than in singletons. No twin-specific risk factors were identified. Discussion of the risk of sphincter injury should form part of patient counseling with regard to the mode of delivery.

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