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Review article
https://doi.org/10.20471/acc.2019.58.02.22

Increased Oasis Incidence – Indicator of the Quality of Obstetric Care?

Vesna Košec ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Ivka Djaković   ORCID icon orcid.org/0000-0003-2275-6389 ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Marijo Čukelj ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Emina Ejubović ; Department of Gynecology and Obstetrics, Zenica Cantonal Hospital, Zenica, Bosnia and Herzegovina; Sarajevo Medical School, Sarajevo School of Science and Technology, Sarajevo, Bosnia and Herzegovina
Blaženka Sumpor ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Željko Djaković ; Jordanovac Department of Thoracic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia

Fulltext: english, pdf (214 KB) pages 365-370 downloads: 162* cite
APA 6th Edition
Košec, V., Djaković, I., Čukelj, M., Ejubović, E., Sumpor, B. & Djaković, Ž. (2019). Increased Oasis Incidence – Indicator of the Quality of Obstetric Care?. Acta clinica Croatica, 58 (2.), 365-370. https://doi.org/10.20471/acc.2019.58.02.22
MLA 8th Edition
Košec, Vesna, et al. "Increased Oasis Incidence – Indicator of the Quality of Obstetric Care?." Acta clinica Croatica, vol. 58, no. 2., 2019, pp. 365-370. https://doi.org/10.20471/acc.2019.58.02.22. Accessed 28 Oct. 2020.
Chicago 17th Edition
Košec, Vesna, Ivka Djaković, Marijo Čukelj, Emina Ejubović, Blaženka Sumpor and Željko Djaković. "Increased Oasis Incidence – Indicator of the Quality of Obstetric Care?." Acta clinica Croatica 58, no. 2. (2019): 365-370. https://doi.org/10.20471/acc.2019.58.02.22
Harvard
Košec, V., et al. (2019). 'Increased Oasis Incidence – Indicator of the Quality of Obstetric Care?', Acta clinica Croatica, 58(2.), pp. 365-370. https://doi.org/10.20471/acc.2019.58.02.22
Vancouver
Košec V, Djaković I, Čukelj M, Ejubović E, Sumpor B, Djaković Ž. Increased Oasis Incidence – Indicator of the Quality of Obstetric Care?. Acta clinica Croatica [Internet]. 2019 [cited 2020 October 28];58(2.):365-370. https://doi.org/10.20471/acc.2019.58.02.22
IEEE
V. Košec, I. Djaković, M. Čukelj, E. Ejubović, B. Sumpor and Ž. Djaković, "Increased Oasis Incidence – Indicator of the Quality of Obstetric Care?", Acta clinica Croatica, vol.58, no. 2., pp. 365-370, 2019. [Online]. https://doi.org/10.20471/acc.2019.58.02.22

Abstracts
In the era of new molecular, epigenetic and proteomic discoveries, birth canal injuries seem like outdated discussion. A vast increase in the incidence of obstetric anal sphincter injuries (OASIS) has been recorded in the last two decades despite advantages in modern medicine and
new obstetric methods. This increase might be attributed to the new classification of perineal injury but also to the new imaging methods, including endoanal sonography, which earlier identifies injuries that previously were considered to be occult and actually underwent unrecognized, and which should have been recognized immediately postpartum. OASIS are third and fourth degree perineal injuries that occur during delivery. The reported incidence of OASIS varies from 0.1% to 10.9%. It is well known that third and fourth degree perineal injuries occur more often in primiparae, and in cases of macrosomic newborn, dorsoposterior position of fetal head and shoulder dystocia. The protective role of episiotomy is controversial. Birth canal injury during delivery can happen to any parturient woman. It is important for obstetricians to have this in mind at every delivery. Repercussions of OASIS are serious and can persist for life. They include emotional, psychological, social, physical and sexual disturbances. Therefore, it is very important to recognize the risk factors, diagnose the injury on time and treat it properly by a multidisciplinary team. Accordingly, it can be concluded that the increased incidence of OASIS is a result of better recognition of the risk factors, reduced rates of unrecognized sphincter injuries, adoption of the new classification and better postpartum imagining methods for detection of occult injuries.

Keywords
Birth injuries; Perineum – injuries; Anal canal – injuries; Delivery, obstetric – adverse effects

Hrčak ID: 224612

URI
https://hrcak.srce.hr/224612

[croatian]

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