Abstract：
OBJECTIVE:To investigate the risk for anal sphincter tears (AST) in infibulated women. DESIGN:Population-based cohort study. SETTING:Nationwide study in Sweden. POPULATION:The study population included 250 491 primiparous women with a vaginal singleton birth at 37-41 completed gestational weeks during 1999-2008. We only included women born in Sweden and in Africa. The African women were categorized into three groups; a Somalia group, n = 929, where over 95% are infibulated; the Eritrea-Ethiopia-Sudan group, n = 955, where the majority are infibulated, compared with other African countries, n = 1035, where few individuals are infibulated but had otherwise similar anthropometric characteristics. These women were compared with 247 572 Swedish-born women. METHODS:Register study with data from the National Medical Birth Registry. MAIN OUTCOME MEASURES:AST in non-instrumental and instrumental vaginal delivery. RESULTS:Compared with Swedish-born women, women from Somalia had the highest odds ratio for AST in all vaginal deliveries: 2.72 (95%CI 2.08-3.54), followed by women from Eritrea-Ethiopia-Sudan 1.80 (1.41-2.32) and other African countries 1.23 (0.89-1.53) after adjustment for major risk factors. Mediolateral episiotomy was associated with a reduced risk of AST in instrumental deliveries. CONCLUSION:Delivering African women from countries where infibulation is common carries an increased risk of AST compared with Swedish-born women, despite delivering in a highly technical quality healthcare setting. AST can cause anal incontinence and it is important to investigate risk factors for this and try to improve clinical routines during delivery to reduce the incidence of this complication.
journal_name
Acta Obstet Gynecol Scandjournal_title
Acta obstetricia et gynecologica Scandinavicaauthors
Berggren V,Gottvall K,Isman E,Bergström S,Ekéus Cdoi
10.1111/aogs.12010subject
Has Abstractpub_date
2013-01-01 00:00:00pages
101-8issue
1eissn
0001-6349issn
1600-0412journal_volume
92pub_type
杂志文章abstract：BACKGROUND:Interventions that may help shorten the duration of pregnancy in an African setting where facilities for fetal monitoring in post-term pregnancy are limited, and induction is not without its hazards, are needed. AIM:To determine whether outpatient administration of intravaginal misoprostol safely decreases ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.0001-6349.2005.00655.x
更新日期：2005-07-01 00:00:00
abstract：:During the years 1973-79, 704732 births took place in Sweden and 63 075 cesarean sections (CS) were performed. Within the study period there were 20 maternal deaths associated with delivery or puerperium. Thirteen of these patients were delivered by CS and 7 by the vaginal route. The hospital records of the 13 deaths ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016348409156266
更新日期：1984-01-01 00:00:00
abstract：:Eighteen patients, under the age of 60 years, who have been treated with local excision of the vulva, participated in the study in which sexual function and somatopsychic reactions were evaluated by personal interviews. Furthermore both objective and subjective cosmetic results were registered. After this type of oper...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016349209007969
更新日期：1992-02-01 00:00:00
abstract：BACKGROUND:Patients after treatment for cervical cancer have increased risk of developing second squamous cell malignancy of the lower genital tract. MATERIAL AND METHODS:A retrospective study of 46 patients with second lower genital tract epidermoid cancers following previous treatment for invasive cervical carcinoma...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：
更新日期：2000-09-01 00:00:00
abstract：OBJECTIVE:To assess trends for hysterectomy methods in the Nordic countries and to compare outcomes of hysterectomies in Finland done by trainees with those done by specialists. DESIGN:Register-based study. SETTING:NOMESCO database for the Nordic countries and the Finnish Hospital Discharge Register. POPULATION:Nati...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1111/aogs.12654
更新日期：2015-07-01 00:00:00
abstract：INTRODUCTION:Fetal heart rate short term variation (STV) decreases with severe chronic hypoxia in the antenatal period. However, only limited research has been done on STV during labor. We have tested a novel algorithm for a valid baseline estimation and calculated STV. To explore the value of STV during labor, we comp...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1111/aogs.13390
更新日期：2018-10-01 00:00:00
abstract：BACKGROUND:To investigate the role of interleukin-1 related substances in amniotic fluid in normal term labor without intrauterine infection. METHODS:Amniotic fluid samples were collected from forty-one patients with various backgrounds. A novel pre-assay treatment using Frigen II was introduced to improve the recover...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
abstract：BACKGROUND:To describe the prevalence of women using systemic hormone replacement therapy in various age groups. To identify their reasons for choosing or not choosing the therapy, reasons for discontinuing the treatment, the prevalence of side effects among current users, and to estimate the duration of treatment. ME...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：OBJECTIVE:Currently, no prospective study supports or refutes the value of secondary cytoreductive surgery in patients with ovarian cancer. We therefore reviewed the surgical data of patients who underwent second-look laparotomy (SLL) with or without secondary cytoreductive surgery at our department. METHODS:Analysis ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：
更新日期：2001-05-01 00:00:00
abstract：BACKGROUND:The objectives of this paper were to assess the prevalence of different viral infections in relation to late abortions, stillbirths, and congenital malformations in sera from Russian pregnant women and recurrent aborters in order to establish basic knowledge for future pregnancy care. METHODS:Patients were ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1034/j.1600-0412.2001.801110.x
更新日期：2001-11-01 00:00:00
abstract：:The total body calcium--estimated from bone mineral content in the distal part of the forearm measured by use of photon absorptiometry--was determined during pregnancy in 13 women. The results indicate that total body calcium is constant during pregnancy. ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016347609156802
更新日期：1976-01-01 00:00:00
abstract：:Oxytocin concentrations increased during pregnancy and during medication with low-dose oral contraceptives (o.c.). Postprandial somatostatin concentrations were lower during medication with o.c. Insulin concentrations were elevated during pregnancy with the same tendency during medication with o.c. Gastrin levels were...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016349109007873
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVE:To study whether increased maternal weight and other factors of importance is associated with higher birth weights of the children over a period of almost 25 years. DESIGN:Retrospective cohort study. SETTING:Delivery wards in southeast Sweden. SAMPLE:A total of 4,330 delivered women and their children from...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1080/00016340902807199
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:Increasing birth rates have raised questions for policy makers and hospital management about the economic costs of childbirth. OBJECTIVE:The purpose of this article is to identify and review all existing scientific studies in relation to the economic costs of alternative modes of childbirth delivery and to ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章,评审
doi：10.1111/aogs.12117
更新日期：2013-05-01 00:00:00
abstract：:The excretion of phenoxymethylpenicillin in vaginal fluid was determined in 19 hysterectomized women, 8 totally and 11 subtotally operated. Phenoxymethylpenicillin was found in the vaginal fluid in high concentrations in both groups of women and it was concluded that the substance penetrates the vaginal wall. Concentr...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016349109006194
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVE:To examine whether strenuous working conditions in pregnancy are associated with reduced birthweight. METHOD:Cross-sectional, population based study. Retrospective data collection by questionnaire to parturients in all maternity wards in Norway 16.10-26.11.89, completed before discharge from hospital, with r...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：
更新日期：1998-03-01 00:00:00
abstract：:Massive postpartum hemorrhage (PPH) is a major life-threatening complication. When conventional management fails, pelvic arterial embolization (PAE) can be used. The aim of our study was to find out the success rate of PAE in cases of acute PPH, and to study the safety of this procedure in a retrospective case series ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1111/aogs.12376
更新日期：2014-07-01 00:00:00
abstract：:The quality and reliability of pulsed Doppler recordings from branches of the uterine artery were tested by studying 37 normotensive pregnancies and 14 complicated by pregnancy-induced hypertension (PIH) lasting for several minutes. The coefficients of variation of mean velocity and A/B ratio (= peak systolic/end dias...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016348909021008
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:To investigate Swedish county council members knowledge of the laws regulating infertility treatment, their understanding of the suggestions put forward in the report 'Priorities in Health Care' and their attitudes towards infertility. METHODS:All members (n=182) of the 1998 county councils of Linköping and...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：
更新日期：2000-11-01 00:00:00
abstract：:Laparoscopic sterilization with a bipolar electrode was performed in 62 patients. The sterilization failed in one patient and was questionable in another. The effectiveness was assessed by hysterosalpingography (HSG) in 51 patients. No complications due to laparoscopy occurred. The method is considered to be advantage...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016347809155898
更新日期：1978-01-01 00:00:00
abstract：BACKGROUND:To evaluate the relationship between the severity of dysmenorrhea and endometrioma. METHODS:Descriptive study with prospective design. Two hundred and thirty-nine women with histologically proved endometriomas. The severity of dysmenorrhea was assessed prospectively with a 10-cm visual analog scale. Various...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1080/00016340600935490
更新日期：2006-01-01 00:00:00
abstract：:The object of this study was to assess the diagnostic value of ultrasonic scanning alone and of ultrasonic scanning combined with histological examination of endometrial tissue on suspicion of subacute ectopic pregnancy. For the 93 patients comprising the study, ectopic pregnancy was diagnosed in 21 cases. The diagnos...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 临床试验,杂志文章
doi：10.3109/00016348209156539
更新日期：1982-01-01 00:00:00
abstract：:The level of blood natural killer (NK) cell activity was determined in relation to chlamydial infections. A group of 10 women who had recovered from chlamydial salpingitis was compared with a similar group who had had chlamydial cervicitis. Ten healthy female blood donors with no history of chlamydial infections serve...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016348409155547
更新日期：1984-01-01 00:00:00
abstract：:Low-lying placentas, placenta previa and abnormally invasive placentas are the most frequently occurring placental abnormalities in location and anatomy. These conditions can have serious consequences for mother and fetus mainly due to excessive blood loss before, during or after delivery. The incidence of such abnorm...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1111/aogs.13834
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVE:To assess the impact of the medical documentation and biological trace evidence in rape cases on the legal process. DESIGN:Retrospective descriptive study. SETTING AND SAMPLE:Police-reported cases of rape of women ≥16 years old in the Norwegian county of Sør-Trøndelag from January 1997 to June 2003. METHOD...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1111/j.1600-0412.2011.01246.x
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVE:To study the association between maternal weight gain in pregnancy and fetal abdominal circumference in the second trimester. DESIGN:Prospective cross-sectional study. SETTING:Low-risk antenatal clinic. POPULATION:Six hundred and fifty women with low-risk pregnancy. METHODS:Women with a regular menstrual ...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1111/j.1600-0412.2011.01129.x
更新日期：2011-06-01 00:00:00
abstract：:Statistics covering deaths directly due to pregnancy in the Commonwealth of Australia have been available since the turn of the century. However, those for deaths associated with pregnancy have not. Over the past two decades each State in the Commonwealth has set up Maternal Mortality Committees to collect confidentia...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016347709154986
更新日期：1977-01-01 00:00:00
abstract：INTRODUCTION:Exposure to intimate partner violence (IPV) has been found to be associated with a multitude of poor health and quality of life outcomes. Among the risks exacerbated by IPV is prenatal depression. Resilience is hypothesized to protect against psychopathology after exposure to a traumatic influence. The pre...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.1111/aogs.14062
更新日期：2020-12-14 00:00:00
abstract：OBJECTIVE:To study pregnant women's knowledge, attitudes and behaviors towards tobacco use and secondhand smoke (SHS) exposure, and exposure to advertising for and against tobacco products in Zambia and the Democratic Republic of the Congo (DRC). DESIGN:Prospective cross-sectional survey between November 2004 and Sept...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章
doi：10.3109/00016341003605693
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Clinical guidelines for post-term management differ, and studies on women's attitudes are lacking. We aimed to assess the experiences and attitudes among women managed with serial antenatal monitoring or induction of labor, and the effects of post-term pregnancy on self-reports of quality of life. METHODS:W...
journal_title：Acta obstetricia et gynecologica Scandinavica
pub_type： 杂志文章,随机对照试验
doi：10.1080/00016340701416929
更新日期：2007-01-01 00:00:00
