Evidence map›Paper›PMID 39075831›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2025

Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population.

Carlos Agustín Zapata-Caballero, Ernesto Rodolfo Rivera-Medina, Jaime Ignacio Cevallos-Bustillos, Verónica Granados-Martínez, Viridiana Gorbea-Chávez

Abstract readComparative Study
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Incidence of obstetric anal sphincter injuries according to the type of forceps used in the Mexican population.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carlos Agustín Zapata-CaballeroDepartment of Urogynecology, National Institute of Perinatology, Mexico City, Mexico.ORCID https://orcid.org/0000-0001-6940-7528
Ernesto Rodolfo Rivera-MedinaDepartment of Urogynecology, National Institute of Perinatology, Mexico City, Mexico.
Jaime Ignacio Cevallos-BustillosDepartment of Urogynecology, National Institute of Perinatology, Mexico City, Mexico.
Verónica Granados-MartínezDepartment of Urogynecology, National Institute of Perinatology, Mexico City, Mexico.
Viridiana Gorbea-ChávezDepartment of Urogynecology, National Institute of Perinatology, Mexico City, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study describes the frequency of obstetric anal sphincter injuries (OASIS) in patients after instrumental delivery according to the type of forceps used.

methodsA retrospective comparative cohort study was conducted on patients who underwent instrumental delivery from January 2017 to April 2022. The primary outcome was the presence of OASIS following delivery. Patients were categorized into Cohort A if only rotation forceps were used, Cohort B for only traction forceps, and Cohort C if both types were used sequentially. Statistical analysis was performed with SPSS (IBM, New York, NY) with χ

resultsOASIS occurred in 45 of 328 instrumental deliveries. OASIS after rotation forceps occurred in 12.9% (n = 8) of cases, after traction forceps in 13.2% (n = 34), and after sequential use of rotation and traction forceps in 37.5% (n = 3) of cases (p = 0.141). An odds ratio (OR) of 0.91 (95% confidence interval [CI] 0.40-2.08) for OASIS was obtained with the use of rotation forceps, 0.81 (95% CI 0.38-1.70) for traction forceps, and 3.97 (95% CI 0.91-17.2) for the sequential use of rotation and traction forceps.

conclusionThere were no significant differences in the presence of OASIS comparing traction and rotation forceps. A non-significant trend of higher OASIS following the sequential use of traction and rotation forceps was observed.

Indexed as

Anal CanalExtraction, ObstetricalObstetrical ForcepsAdultFemaleHumansIncidenceMexicoObstetric Labor ComplicationsPregnancyRetrospective StudiesYoung Adultforceps deliveryinstrumental deliveryobstetric anal sphincter injuriesoperative vaginal deliveryrotation forcepssequential instrumentstraction forceps

Identifiers

PMID39075831
PMCPMC11649871

What OpenQuestion holds

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Registered trials

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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.