2018年美国妇产科医师学会阴道分娩产科裂伤的预防和管理指南要点解读

Interpretation of 2018 American College of Obstetricians and Gynecologists Practice Bulletin: Prevention and management of obstetric lacerations at vaginal delivery

阴道分娩后的产科裂伤十分常见,虽然大多数产科裂伤预后良好,但严重产科裂伤常与产后或远期出现盆底损伤、排便排尿失禁、产后疼痛和性功能障碍的风险增加有关。2018年美国妇产科医师学会(American College of Obstetricians and Gynecologists,ACOG)发布了阴道分娩产科裂伤的预防和管理指南,为产科裂伤及会阴切开的预防、识别及修复提供了较全面的循证依据。本文对指南要点进行了摘译和解读,以期增加妇产科工作者对产科裂伤的预防和管理新策略的认识。

Lacerations are common after vaginal birth.Although most obstetric lacerations ended with good outcomes,those severe ones are associated with increased risk of several short-and long-term problems,including pelvic floor injury,fecal or urinary incontinenee,postpartum pain,and sexual dysfunction.The American College of Obstetricians and Gyn ecologists(ACOG)published a practice bulletin about the prevention and management of obstetric lacerations at vaginal delivery in 2018.providing an evidence-based comprehensive guideline for prevention,identification,and repair of obstetric lacerations and episiotomy.This article presented the esse nee of the guideline in order to improve the awareness of the new strategies of prevention and management of obstetric laceratio ns among gynecologists and obstetricians.