Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair

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Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair.

OBJECTIVE To review the evidence relating to obstetrical anal sphincter injuries (OASIS) with respect to diagnosis, repair techniques and outcomes. To formulate recommendations as to patient counselling regarding route of delivery for subsequent pregnancy after OASIS. OPTIONS Obstetrical care providers caring for women with OASIS have the option of repairing the anal sphincter using end-to-en...

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Is the St. Mark’s Scoring System Suitable for Assessment of Anal Incontinence following Repair of Obstetric Anal Sphincter Injuries (oasis)?

Hypothesis / aims of study Several scoring systems have been designed to quantify and objectively assess anal incontinence in symptomatic patients. The St. Mark’s grading system for fecal incontinence has shown the highest correlation with the physician’s clinical impression when compared to three other grading systems (1). The main focus of continence grading systems is on physical aspects, bu...

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Obstetrical Anal Sphincter Injuries: Does Obstetrical Care Provider Matter? A Quality Assurance Study in Ontario.

OBJECTIVES We sought to determine the rates of obstetrical anal sphincter tears (OASIS) between types of obstetrical care providers at Kingston General Hospital (KGH) and in Ontario via the Better Outcomes Registry Network (BORN). METHODS This cross-sectional study collected patient, demographic, and delivery data from all vaginal deliveries at KGH from June 2011 to June 2014 and all vaginal ...

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Obstetric Anal Sphincter Injuries (OASIs) in Israel: A Review of the Incidence and Risk Factors

Obstetric anal sphincter injuries (OASIs) following vaginal deliveries are the main reason for subsequent development of anal incontinence in women. The diagnosis of such tears is crucial for treating and preventing such a grave sequela. The reported rate of OASIs in Israel was between 0.1% and 0.6%, out of all vaginal births, which is 10-fold lower than that reported in Europe and the United S...

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Occult anal sphincter injuries--myth or reality?

OBJECTIVES To establish the true prevalence of clinically recognisable and occult obstetric anal sphincter injuries (OASIS). DESIGN Prospective interventional study. SETTING Busy district general hospital. SAMPLE Two hundred and fifty-four women having their first vaginal delivery over a 12-month period were invited. Two hundred and forty-one (95%) participated and 208 (86%) attended foll...

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ژورنال

عنوان ژورنال: Journal of Obstetrics and Gynaecology Canada

سال: 2015

ISSN: 1701-2163

DOI: 10.1016/s1701-2163(16)30081-0