FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385250027> ?p ?o ?g. }

• W4385250027 abstract "Incontinence occurs frequently in the postpartum period. Several theoretical pathophysiological models may underlie the hypothesis that different types of management of the active phase of the second stage of labor have different effects on pelvic floor muscles and thus perhaps affect urinary and anal continence.This study aimed to evaluate the impact of moderate pushing on the occurrence of urinary or anal incontinence compared with intensive pushing, and to determine the factors associated with incontinence at 6 months postpartum.This was a planned analysis of secondary objectives of the PASST (Phase Active du Second STade) trial, a multicenter randomized controlled trial. PASST included nulliparous women with singleton term pregnancies and epidural analgesia, who were randomly assigned at 8 cm of dilatation to either the intervention group that used moderate pushing (pushing only twice during each contraction, resting regularly for 1 contraction in 5 without pushing, and no time limit on pushing) or the control group following the usual management of intensive pushing (pushing 3 times during each contraction, with no contractions without pushing, with an obstetrician called to discuss operative delivery after 30 minutes of pushing). Data about continence were collected with validated self-assessment questionnaires at 6 months postpartum. Urinary incontinence was defined by an ICIQ-UI SF (International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form) score ≥1 and anal incontinence by a Wexner score ≥2. A separate analysis was also performed among the more severely affected women (ICIQ-UI SF ≥6 and Wexner ≥5). Factors associated with incontinence were assessed with univariate and multivariable analyses.Among 1618 women initially randomized, 890 (55%) returned the complete questionnaire at 6 months. The rate of urinary incontinence was 36.6% in the moderate pushing group vs 38.5% in the intensive pushing group (relative risk, 0.95; 95% confidence interval, 0.80-1.13), whereas the rate of anal incontinence was 32.2% vs 34.6% (relative risk, 0.93; 95% confidence interval, 0.77-1.12). None of the obstetrical factors studied related to the second stage of labor influenced the occurrence of urinary or anal incontinence, except operative vaginal delivery, which increased the risk of anal incontinence (adjusted odds ratio, 1.50; 95% confidence interval, 1.04-2.15).The results of the PASST trial indicate that neither moderate nor intensive pushing efforts affect the risk of urinary or anal incontinence at 6 months postpartum among women who gave birth under epidural analgesia." @default.
• W4385250027 created "2023-07-26" @default.
• W4385250027 creator A5003566689 @default.
• W4385250027 creator A5007171885 @default.
• W4385250027 creator A5008767296 @default.
• W4385250027 creator A5021400747 @default.
• W4385250027 creator A5022386988 @default.
• W4385250027 creator A5031971686 @default.
• W4385250027 creator A5036742391 @default.
• W4385250027 creator A5037052804 @default.
• W4385250027 creator A5041737432 @default.
• W4385250027 creator A5041983752 @default.
• W4385250027 creator A5052004467 @default.
• W4385250027 creator A5070850386 @default.
• W4385250027 creator A5075025355 @default.
• W4385250027 creator A5090138136 @default.
• W4385250027 creator A5090223417 @default.
• W4385250027 date "2023-07-01" @default.
• W4385250027 modified "2023-10-16" @default.
• W4385250027 title "Moderate or intensive management of the active phase of second-stage labor and risk of urinary and anal incontinence: results of the PASST randomized controlled trial" @default.
• W4385250027 cites W1501372735 @default.
• W4385250027 cites W1743088454 @default.
• W4385250027 cites W1974793633 @default.
• W4385250027 cites W1980298984 @default.
• W4385250027 cites W1989186090 @default.
• W4385250027 cites W1995948627 @default.
• W4385250027 cites W1996751922 @default.
• W4385250027 cites W2019004839 @default.
• W4385250027 cites W2058263933 @default.
• W4385250027 cites W2060139124 @default.
• W4385250027 cites W2090691834 @default.
• W4385250027 cites W2117300470 @default.
• W4385250027 cites W2141009312 @default.
• W4385250027 cites W2155715307 @default.
• W4385250027 cites W2238556910 @default.
• W4385250027 cites W2428385889 @default.
• W4385250027 cites W2787019838 @default.
• W4385250027 cites W2790257057 @default.
• W4385250027 cites W2905004726 @default.
• W4385250027 cites W2965692616 @default.
• W4385250027 cites W2989915695 @default.
• W4385250027 cites W2997135817 @default.
• W4385250027 cites W3122595719 @default.
• W4385250027 cites W3131982872 @default.
• W4385250027 cites W3162629858 @default.
• W4385250027 cites W4210560754 @default.
• W4385250027 cites W4213025582 @default.
• W4385250027 cites W4228997537 @default.
• W4385250027 cites W4286257751 @default.
• W4385250027 cites W778500265 @default.
• W4385250027 doi "https://doi.org/10.1016/j.ajog.2023.07.034" @default.
• W4385250027 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37499991" @default.
• W4385250027 hasPublicationYear "2023" @default.
• W4385250027 type Work @default.
• W4385250027 citedByCount "0" @default.
• W4385250027 crossrefType "journal-article" @default.
• W4385250027 hasAuthorship W4385250027A5003566689 @default.
• W4385250027 hasAuthorship W4385250027A5007171885 @default.
• W4385250027 hasAuthorship W4385250027A5008767296 @default.
• W4385250027 hasAuthorship W4385250027A5021400747 @default.
• W4385250027 hasAuthorship W4385250027A5022386988 @default.
• W4385250027 hasAuthorship W4385250027A5031971686 @default.
• W4385250027 hasAuthorship W4385250027A5036742391 @default.
• W4385250027 hasAuthorship W4385250027A5037052804 @default.
• W4385250027 hasAuthorship W4385250027A5041737432 @default.
• W4385250027 hasAuthorship W4385250027A5041983752 @default.
• W4385250027 hasAuthorship W4385250027A5052004467 @default.
• W4385250027 hasAuthorship W4385250027A5070850386 @default.
• W4385250027 hasAuthorship W4385250027A5075025355 @default.
• W4385250027 hasAuthorship W4385250027A5090138136 @default.
• W4385250027 hasAuthorship W4385250027A5090223417 @default.
• W4385250027 hasConcept C10885799 @default.
• W4385250027 hasConcept C126322002 @default.
• W4385250027 hasConcept C131872663 @default.
• W4385250027 hasConcept C141071460 @default.
• W4385250027 hasConcept C168563851 @default.
• W4385250027 hasConcept C1862650 @default.
• W4385250027 hasConcept C2778531004 @default.
• W4385250027 hasConcept C2779234561 @default.
• W4385250027 hasConcept C2781244320 @default.
• W4385250027 hasConcept C54355233 @default.
• W4385250027 hasConcept C71924100 @default.
• W4385250027 hasConcept C77411442 @default.
• W4385250027 hasConcept C86803240 @default.
• W4385250027 hasConceptScore W4385250027C10885799 @default.
• W4385250027 hasConceptScore W4385250027C126322002 @default.
• W4385250027 hasConceptScore W4385250027C131872663 @default.
• W4385250027 hasConceptScore W4385250027C141071460 @default.
• W4385250027 hasConceptScore W4385250027C168563851 @default.
• W4385250027 hasConceptScore W4385250027C1862650 @default.
• W4385250027 hasConceptScore W4385250027C2778531004 @default.
• W4385250027 hasConceptScore W4385250027C2779234561 @default.
• W4385250027 hasConceptScore W4385250027C2781244320 @default.
• W4385250027 hasConceptScore W4385250027C54355233 @default.
• W4385250027 hasConceptScore W4385250027C71924100 @default.
• W4385250027 hasConceptScore W4385250027C77411442 @default.
• W4385250027 hasConceptScore W4385250027C86803240 @default.
• W4385250027 hasLocation W43852500271 @default.
• W4385250027 hasLocation W43852500272 @default.
• W4385250027 hasOpenAccess W4385250027 @default.

• next