Evidence map›Paper›PMID 42228095›Full record

ReviewInternational urogynecology journal2026

Mode of Subsequent Delivery After Obstetric Anal Sphincter Injuries (OASIs).

May Alarab, Swati Jha, Fernanda Pipitone, Laura Cattani, Adi Yehude Weintraub, Maria Giroux, Abdul H Sultan

Abstract readReview
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In one paragraph

Review in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

May AlarabDivision of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Canada. May.Alarab@sinaihealth.ca.
Swati JhaSheffield Teaching Hospitals, University of Sheffield, Sheffield, UK.
Fernanda PipitoneDivision of Gynecology, Department of Obstetrics and Gynecology, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
Laura CattaniDepartment of Development and Regeneration, Cluster Urogenital Surgery, Biomedical Sciences, KU Leuven, Louvain, Belgium.
Adi Yehude WeintraubDepartment of Obstetrics and Gynecology, Faculty of Health Sciences, Soroka University Medical Center, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Maria GirouxDepartment of Obstetrics and Gynecology, Regina General Hospital, Saskatchewan Health Authority, University of Saskatchewan, Regina, Canada.
Abdul H SultanObstetrics and Gynaecology, Croydon Health Services, NHS Trust, Croydon, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisObstetric anal sphincter injuries (OASIs) are severe perineal lacerations, which have a significant impact on quality of life. The rate of OASIs has been increasing worldwide due to improved awareness, recognition, and reporting. When these women conceive again, they are faced with a dilemma regarding the most appropriate mode of delivery. Although counselling about mode of delivery guides women's decisions, there is a large variation in clinical practice and advice provided to women worldwide. To date, limited literature is available to guide counselling for an optimal mode of delivery of subsequent pregnancy post-OASIs. MATERIALS AND

methodsA working subcommittee from the International Urogynaecological Association (IUGA) Innovation, Research, and Development (I, R&D) Committee was created. A literature review was performed to produce a draft, which focused on the recommended mode of subsequent delivery for women with previous OASIs. This document was then evaluated by the entire IUGA I, R&D Committee and revisions were implemented. This review examined the impact of subsequent mode of delivery on pelvic floor functions, overall quality of life, and women's regret regarding their chosen delivery mode. This work represents a narrative review combined with expert opinion, rather than a systematic review or formal guideline.

resultsIn this opinion paper, the R&D Committee provides guidance regarding the assessment and management of women affected by OASIs and summarises the evidence-based recommendations for the mode of subsequent delivery based on the currently available literature.

conclusionPostpartum faecal incontinence is multifactorial. A comprehensive assessment by an expert clinician using available resources is recommended to guide an informed decision using a collaborative approach regarding the preferred mode of subsequent delivery post OASIs.

Indexed as

Anal CanalDelivery, ObstetricLacerationsObstetric Labor ComplicationsFemaleHumansPerineumPregnancyQuality of LifeFecal incontinenceObstetric anal sphincter injury (OASI)Perineal traumaRecurrence of OASISubsequent delivery

Identifiers

PMID42228095

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.