产科特征和功能性结果在妇女产科关节损伤的产科特征和功能性结果
Shree Prasad Adhikari1, Sandesh Poudel1, Sapana Amatya Baidhya1
1Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal.
Journal of Nepal Health Research Council
|July 31, 2024
概括
产科关节损伤 (OASI) 发生在尼泊尔0.33%的阴道分娩中. 最常见的是三级损伤,影响了primipara妇女,贾纳贾蒂族裔妇女和没有表皮切割的妇女,导致浮和尿失禁.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 手术并发症 手术并发症
背景情况:
- 产妇关节损伤 (OASI) 是阴道分娩的一个重要并发症.
- 未经治疗的OASI可能会导致严重的孕产妇疾病,包括尿液和便失禁.
- 了解OASI的发生率和结果对于改善孕产妇护理至关重要.
研究的目的:
- 为了确定经过阴道分娩的尼泊尔妇女中OASI的发生率.
- 描述与OASI相关的产科特征.
- 为了评估持续OASI的女性的功能性结果,特别是 incontinence.
主要方法:
- 在尼泊尔帕罗帕卡尔妇产医院 (Paropakar Maternity and Women's Hospital) 进行了回顾性描述性研究.
- 从2018年4月至2020年9月期间阴道分娩后患有III级或IV级OASI的妇女的医院记录中收集了数据.
- 用电话询问来评估当前的失禁状态.
主要成果:
- 在31,786例阴道分娩中,OASI的发生率为0.33% (106例).
- 受影响女性的平均年龄为24.6岁;52.9%是贾纳贾蒂族,61.2%是初级族裔.
- 分别有28.3%,13.2%和22.6%的女性报告了平,便和尿问题.
结论:
- 尼泊尔的OASI发病率为0.33%,低于一些南亚研究报告的水平.
- 第三级OASI是最常见的类型,在Janajati primipara妇女和没有表皮切割的妇女中更为常见.
- 大约四分之一的女性在受伤后经历了浮或尿失禁.
相关概念视频
Assessment of the Rectum and Anus
177
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
177
Inflammatory Bowel Disease V: Surgical Management
138
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
138
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
66
Appendicitis-I: Introduction
102
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
102
Appendicitis-II: Diagnostic Studies and Management
73
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
73


