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Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair
Marie-Andrée Harvey1, Marianne Pierce2, Jens-Erik W Alter3
1Kingston ON.
Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|December 5, 2015
Summary
This review examines obstetrical anal sphincter injuries (OASIS), focusing on diagnosis, repair, and outcomes. It provides guidance for counseling women on delivery route after OASIS to improve anal continence.
Area of Science:
- Obstetrics and Gynecology
- Surgical Outcomes Research
Background:
- Obstetrical anal sphincter injuries (OASIS) are significant complications of childbirth.
- Effective diagnosis and repair are crucial for preventing long-term sequelae such as anal incontinence.
Purpose of the Study:
- To synthesize evidence on the diagnosis, repair techniques, and outcomes of OASIS.
- To develop recommendations for patient counseling regarding delivery route in subsequent pregnancies after OASIS.
Main Methods:
- Comprehensive literature search of Medline, EMBASE, and The Cochrane Library up to September 2014.
- Inclusion of systematic reviews, RCTs/CCTs, and observational studies.
- Quality of evidence rated using Canadian Task Force criteria.
Main Results:
- The primary outcome is anal continence following primary OASIS repair and subsequent childbirth.
- Evidence supports improved diagnosis and functional outcomes with optimal repair techniques.
- Guidelines aim to provide evidence-based counseling for future pregnancies.
Conclusions:
- Improved diagnostic accuracy and standardized repair techniques can enhance functional outcomes after OASIS.
- Evidence-based counseling is essential for women with a history of OASIS to inform decisions about future delivery routes.
- These guidelines aim to optimize patient care and reduce the impact of OASIS.
Keywords:
anal incontinenceanal sphincter injuryend-to-end repairobstetrical complicationsoverlap repairperineal lacerationpregnancysphincteroplastyMore Related Videos
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