A retrospective cross-sectional study on the association between newborn’s head circumference at birth and obstetric anal sphincter injuries among primigravidae / Ng Jun Jiet ... [et al.]

Ng, Jun Jiet and Chan, Yan Ling and Ismail, Ahmad Amir and Apana, Aruku Naidu and Aruku Naidu, Thuvina (2022) A retrospective cross-sectional study on the association between newborn’s head circumference at birth and obstetric anal sphincter injuries among primigravidae / Ng Jun Jiet ... [et al.]. Journal of Clinical and Health Sciences (JCHS), 7 (2). pp. 25-31. ISSN 0127-984X

Abstract

Introduction: Obstetric anal sphincter injuries (OASIS) is a term used to describe third- and fourth- degree perineal trauma during childbirth. There are a lot of risk factors associated with OASIS, however newborn’s head circumference (HC) at birth as a risk factor is understudied. The aim of this study was to determine the incidence of OASIS and establish the association between newborn’s HC at birth and OASIS among primigravidae who delivered in Hospital Raja Permaisuri Bainun (HRPB) from 2016 to 2018. Other OASIS risk factors were also analysed. Methods: This was a retrospective cross-sectional study among primigravidae who delivered in HRPB from 2016 till 2018. Systematic sampling method was used, and the total sample recruited was 538. Women who sustained OASIS were compared to women without OASIS. Simple and multiple logistic regression analysis were used to look for the association between associated risk factors and OASIS. Results: The incidence of OASIS in HRPB during the study period was 2.0%. Newborn’s HC at birth (p=0.588) was not significantly associated with OASIS, whereas birth weight (OR 1.002 95%CI 1.001-1.004 p=0.06) and instrumental delivery (OR 8.13 95%CI 1.91-34.59 p=0.05) were significant risk factors for OASIS. Conclusion: Overall incidence of OASIS in HRPB was 2.0%, which is within the normal range. Newborn’s HC was not significantly associated with the occurrence of OASIS. Birth weight and instrumental delivery were significant risk factor for OASIS. This information can be used for patient counselling and shared decision making.

Metadata

Item Type: Article
Creators:
Creators
Email / ID Num.
Ng, Jun Jiet
njjgbb@gmail.com
Chan, Yan Ling
UNSPECIFIED
Ismail, Ahmad Amir
UNSPECIFIED
Apana, Aruku Naidu
UNSPECIFIED
Aruku Naidu, Thuvina
UNSPECIFIED
Subjects: R Medicine > RG Gynecology and obstetrics > Obstetrics
R Medicine > RG Gynecology and obstetrics > Operative gynecology
Divisions: Universiti Teknologi MARA, Selangor > Sungai Buloh Campus > Faculty of Medicine
Journal or Publication Title: Journal of Clinical and Health Sciences (JCHS)
UiTM Journal Collections: UiTM Journal > Journal of Clinical and Health Sciences (JCHS)
ISSN: 0127-984X
Volume: 7
Number: 2
Page Range: pp. 25-31
Keywords: Anal incontinence, newborn’s head circumference, obstetric anal sphincter injury, perineal trauma, risk factor
Date: September 2022
URI: https://ir.uitm.edu.my/id/eprint/72470
Edit Item
Edit Item

Download

[thumbnail of 72470.pdf] Text
72470.pdf

Download (470kB)

ID Number

72470

Indexing

Statistic

Statistic details