Abstract：
INTRODUCTION AND HYPOTHESIS:There seems to be a temporal association between increasing use of "hands off" the perineum in labour and reduced use of episiotomy with an increasing rate of anal sphincter injuries. We aimed to determine how common the practice of "hands off" the perineum is. METHODS:An observational postal questionnaire study of 1,000 midwives in England in which the main objective was to obtain an estimate of the number of midwives practising either "hands on" or "hands off" was conducted. RESULTS:Six hundred and seven questionnaires were returned; 299 (49.3%, 95% CI 45.2-53.3%) midwives prefer the "hands-off" method. Less-experienced midwives were more likely to prefer the "hands off" (72% vs. 41.4%, p < 0.001). A higher proportion of midwives in the "hands-off" group would never do an episiotomy (37.1% vs. 24.4%, p = 0.001) for indications other than fetal distress. CONCLUSIONS:The "hands off" the perineum technique is prevalent in the management of labour. We hypothesise that a possible consequence might be an increased incidence of obstetric anal sphincter injury.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Trochez R,Waterfield M,Freeman RMdoi
10.1007/s00192-011-1454-8subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1279-85issue
10eissn
0937-3462issn
1433-3023journal_volume
22pub_type
杂志文章abstract：OBJECTIVES:Nocturia is the number of times urine is passed during main sleep. This definition tells us that it is a need to void; it does not tell us what triggers it. The aim of this study is to report bladder sensations that wake up women with nocturia (N). Descriptions of sensations in relation to various overactive...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-020-04257-w
更新日期：2020-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Mesh-augmented reconstructive surgery for pelvic organ prolapse (POP) does not meet clinical expectations. A tissue-engineered fascia equivalent needs to be developed. METHODS:Human vaginal fibroblasts (HVFs) from 10 patients were characterized in vitro. Eligible HVFs and a biodegradable sc...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1168-3
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abstract：INTRODUCTION AND HYPOTHESIS:We evaluated whether vaginal tampon training (VTT) combined with pelvic floor muscle training (PFMT) results in better outcomes than PFMT alone for treating stress urinary incontinence (SUI). METHODS:This was a randomized, controlled study. Patients were allocated to either the combined pro...
journal_title：International urogynecology journal
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00192-018-3585-7
更新日期：2019-02-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-009-1069-5
更新日期：2010-05-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Vaginal bulging is considered the key symptom for genital organ prolapse. The aim was to investigate the age-related prevalence and frequency of symptomatic pelvic organ prolapse (sPOP) and other pelvic floor symptoms in nonpregnant nullipara aged 25-64 years. METHODS:This national postal a...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3684-5
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To determine whether fecal incontinence (FI) is associated with sexual activity and to compare sexual function in women with and without FI. METHODS:We conducted a retrospective chart review of all new patients seen in an academic urogynecology clinic. Women who reported fecal incontinence,...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2044-8
更新日期：2013-09-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1541-x
更新日期：2012-03-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The true incidence of obstetric anal sphincter injuries (OASI) among Asian primigravida is not known. This study aimed to evaluate OASI in Sri Lankan primigravida. METHODS:One hundred and one consecutive primigravida in their last trimester were recruited from antenatal clinics at a tertiar...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-2986-8
更新日期：2016-09-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
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更新日期：2019-12-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1251-9
更新日期：2011-03-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The goal of the study was to define the time needed to obtain maximal organ descent and hiatal distension during Valsalva measured by transperineal ultrasound. Secondarily, we aimed to describe the timing of these events in relationship to each other. METHODS:We undertook a retrospective re...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-011-1533-x
更新日期：2012-02-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Conflicting opinions on the effect of incontinence surgery on the prevalence of postoperative urgency symptoms exists. Our aim was to evaluate the prevalence of urgency symptoms preoperatively and during 3-year of follow-up in women undergoing mid-urethral sling procedures for stress inconti...
journal_title：International urogynecology journal
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00192-011-1511-3
更新日期：2011-10-01 00:00:00
abstract：:Pelvic reconstructive surgeons have suspected for over a century that childbirth-related trauma plays a major role in the aetiology of female pelvic organ prolapse. Modern imaging has recently allowed us to define and reliably diagnose some of this trauma. As a result, imaging is becoming increasingly important, since...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-011-1459-3
更新日期：2011-10-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:This study was designed to assess the effect of gynecological morbidities on Mexican women's self-rated health status and emotional health. METHODS:A cross-sectional population-based study was conducted among Mexican women aged 25-54. We analyzed information on 1,303 participants living in ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3537-7
更新日期：2018-02-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-016-3255-6
更新日期：2017-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to compare vaginal and clitoral sensory thresholds in women with pelvic organ prolapse and women with normal pelvic anatomy. METHODS:Quantitative sensory thresholds for warm, cold, and vibratory sensations were measured at the vagina and clitoral area of women with pelvic ...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2637-5
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION:Concerns about vaginal mesh have reduced the use of mid-urethral slings (MUS) in some countries. In view of their potential withdrawal in Belgium and The Netherlands, we polled urogynaecologists on their practice for treating stress urinary incontinence (SUI) and what their experience is with alternative p...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
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更新日期：2020-04-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2631-y
更新日期：2015-07-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-012-1798-8
更新日期：2013-02-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-011-1530-0
更新日期：2012-02-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-017-3434-0
更新日期：2018-04-01 00:00:00
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journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究
doi：10.1007/s00192-017-3364-x
更新日期：2018-01-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Vaginal apical suspension is essential for the surgical treatment of pelvic organ prolapse (POP). We aim to evaluate whether the method of apical repair is associated with different re-operation rates for POP recurrence or surgical complications. METHODS:Population-based, retrospective coho...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-018-3792-2
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:This study assessed the safety and efficacy of vaginal extraperitoneal uterosacral ligament suspension (VEULS) with anterior overlay mesh versus sacrocolpopexy (SCP) for posthysterectomy vault prolapse. METHODS:This was a multicenter randomized trial of women with posthysterectomy vault pro...
journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00192-018-3687-2
更新日期：2018-11-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:To estimate the incidence rates of stress urinary incontinence (SUI) surgery among Finnish women from 1987 to 2009 by age, and to evaluate the trends in SUI surgery. METHODS:We conducted a retrospective register-based study. All SUI procedures on adult women over age 18 years in Finland wer...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-015-2926-z
更新日期：2016-07-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The objective was to compare medium-term efficacy and safety of a partially absorbable mesh kit and native tissue repair in pelvic organ prolapse (POP). MATERIALS AND METHODS:Women with primary POP stage ≥ II were randomized to transvaginal trocar-guided partially absorbable mesh (81 women)...
journal_title：International urogynecology journal
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s00192-018-3757-5
更新日期：2019-04-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:Understanding demographic and opioid utilization patterns of preoperative opioid users compared with opioid-naïve patients undergoing surgical treatment for pelvic organ prolapse (POP) better informs opioid prescribing. METHODS:A cohort of preoperative opioid users undergoing surgery for PO...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-019-04215-1
更新日期：2020-09-01 00:00:00
abstract：:Reports have shown that high-energy pelvic trauma might be associated with advanced pelvic organ prolapse in conjunction with other causes. We report the case of a 21-year-old nulliparous, premenopausal, non-overweight woman with no predisposing factors for prolapse who developed stage IV massive pelvic organ prolapse...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-010-1320-0
更新日期：2011-06-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The object of this review was to assess the efficacy and safety of urethral bulking agents (UBA), principally Macroplastique and Bulkamid, in the treatment of female stress urinary incontinence (SUI). METHODS:MEDLINE® and EMBASE® databases were systematically searched up to June 2016. Year ...
journal_title：International urogynecology journal
pub_type： 杂志文章,评审
doi：10.1007/s00192-017-3278-7
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION AND HYPOTHESIS:The aim of the present study was to determine possible correlations between mesh retraction after anterior vaginal mesh repair and de novo stress urinary incontinence (SUI), overactive bladder (OAB), and vaginal pain symptoms. METHODS:One hundred and three women with symptomatic prolapse of...
journal_title：International urogynecology journal
pub_type： 杂志文章
doi：10.1007/s00192-013-2131-x
更新日期：2013-12-01 00:00:00
