SynthesisThe Cochrane database of systematic reviews2014
Interventions for women in subsequent pregnancies following obstetric anal sphincter injury to reduce the risk of recurrent injury and associated harms.
Synthesis in The Cochrane database of systematic reviews, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews.The Cochrane database of systematic reviews · 2022Pooled it
- Influence of in utero fetal death on perineal tears in vaginal deliveries.Scientific reports · 2023Article
- Risk Factors for Anal Continence Impairment Following a Second Delivery after a First Traumatic Delivery: A Prospective Cohort Study.Journal of clinical medicine · 2023Article
- Anal endosonographic assessment of the accuracy of clinical diagnosis of obstetric anal sphincter injury.International urogynecology journal · 2022Article
- Parturition mode recommendation and symptoms of pelvic floor disorders after obstetric anal sphincter injuries.International urogynecology journal · 2020Observational
- A protocol for developing, disseminating, and implementing a core outcome set (COS) for childbirth pelvic floor trauma research.BMC pregnancy and childbirth · 2020Article
- Do women with prior obstetrical anal sphincter injury regret having a subsequent vaginal delivery?BMC pregnancy and childbirth · 2019Article
- An interprofessional approach to prevent recurrent obstetric anal sphincter injury (OASIS): A case report.Clinical case reports · 2018Article
- Effect of subsequent vaginal delivery on bowel symptoms and anorectal function in women who sustained a previous obstetric anal sphincter injury.International urogynecology journal · 2018Article
- Organisational interventions designed to reduce caesarean section rates: a systematic review protocol.BMJ open · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPerineal damage occurs frequently during childbirth, with severe damage involving injury to the anal sphincter reported in up to 18% of vaginal births. Women who have sustained anal sphincter damage are more likely to suffer perineal pain, dyspareunia (painful sexual intercourse), defaecatory dysfunction, and urinary and faecal incontinence compared to those without damage. Interventions in a subsequent pregnancy may be beneficial in reducing the risk of further severe trauma and may reduce the risk of associated morbidities.
objectivesTo examine the effects of Interventions for women in subsequent pregnancies following obstetric anal sphincter injury for improving health. SEARCH
methodsWe searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2014). SELECTION CRITERIA: Randomised controlled trials, cluster-randomised trials and multi-arm trials assessing the effects of any intervention in subsequent pregnancies following obstetric anal sphincter injury to improve health. Quasi-randomised controlled trials and cross-over trials were not eligible for inclusion. DATA COLLECTION AND ANALYSIS: No trials were included. In future updates of this review, at least two review authors will extract data and assess the risk of bias of included studies. MAIN
resultsNo eligible completed trials were identified. One ongoing trial was identified. AUTHORS'
conclusionsNo relevant trials were included. The effectiveness of interventions for women in subsequent pregnancies following obstetric anal sphincter injury for improving health is therefore unknown. Randomised trials to assess the relative effects of interventions are required before clear practice recommendations can be made.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.