{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T06:58:58Z","timestamp":1781852338968,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2025,3]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To compare the risk profiles, anatomical, and functional outcomes between obese and non\u2010obese women who experienced obstetric anal sphincter injury (OASI).<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A retrospective electronic database study was conducted at Cork University Maternity Hospital (CUMH). Women with missing data\/repairs conducted outside CUMH were excluded. Participants were categorized into obese (BMI \u226530\u2009kg\/m\n 2<\/jats:sup>\n ) and non\u2010obese (BMI <30\u2009kg\/m\n 2<\/jats:sup>\n ) groups. Primary measure was a composite adverse outcome assessed 6\u2009months post\u2010delivery, including one or more of the following: resting pressure <40\u2009mmHg, squeezing pressure <100\u2009mmHg, defects in the internal and\/or external anal sphincter. Statistical analyses were performed using SPSS version 28.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among the 349 women included in the study, 285 (81.7%) had a BMI <30\u2009kg\/m\n 2<\/jats:sup>\n and 64 (18.3%) had a BMI \u226530\u2009kg\/m\n 2<\/jats:sup>\n . Gestational diabetes was significantly higher in obese women. No significant differences were observed in newborn weight or mode of delivery. The majority of tears were classified as grade 3B in both groups. Attendance rates at the OASI clinic did not differ between the groups. Among those attending, no statistical differences were noted in manometry results, which were reduced in both groups. Rates of internal anal sphincter defects were lower in the obese group (7.0% vs 15.6%,\n P<\/jats:italic>\n \u2009=\u20090.15) and external anal sphincter defects were significantly lower in obese women (0% vs 9.1%,\n P<\/jats:italic>\n \u2009=\u20090.04). No difference was found in the rates of composite adverse outcomes between the groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Functional outcomes and manometry results did not differ, but non\u2010obese women had higher rates of anatomical defects in OASI, requiring further study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ijgo.15981","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T05:19:37Z","timestamp":1729487977000},"page":"1171-1177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Beyond the numbers: Impact of obesity on obstetric anal sphincter injury (\n OASI<\/scp>\n ) outcomes in women"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4063-5911","authenticated-orcid":false,"given":"Reut","family":"Rotem","sequence":"first","affiliation":[{"name":"Department of Urogynecology Cork University Maternity Hospital Cork Ireland"},{"name":"Department of Obstetrics and Gynecology, Shaare Zedek Medical Center Affiliated with the Hebrew University School of Medicine Jerusalem Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Galvin","sequence":"additional","affiliation":[{"name":"Department of Urogynecology Cork University Maternity Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"McCormack","sequence":"additional","affiliation":[{"name":"Department of Urogynecology Cork University Maternity Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orfhlaith E.","family":"O'Sullivan","sequence":"additional","affiliation":[{"name":"Department of Urogynecology Cork University Maternity Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deirdre","family":"Hayes\u2010Ryan","sequence":"additional","affiliation":[{"name":"Department of Urogynecology Cork University Maternity Hospital Cork Ireland"},{"name":"Department of Obstetrics and Gynecology Cork University Maternity Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)30081-0"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0B013E318142CDF4"},{"key":"e_1_2_9_4_1","unstructured":"Irish Maternity Indicator System National Report.HSE Clinical Programme in Obstetrics and Gynaecology.2022. Accessed May 29 2024.https:\/\/www.google.com\/search?q=Irish+Maternity+Indicator+System+National+Report+2022.+HSE+Clinical+Programme+in+Obstetrics+and+Gynaecology.+December+2023.&oq=Irish+Maternity+Indicator+System+National+Report+2022.+HSE+Clinical+Programme+in+Obstetrics+and+Gynaecology.+December+2023.&gs_lcrp=EgZjaHJvbWUqBggAEEUYOzIGCAAQRRg7MgYIARBFGDvSAQgxMTA4ajBqNKgCALACAQ&sourceid=chrome&ie=UTF\u20108"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.FERTNSTERT.2017.02.104"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2018.1440546"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/JHN.12999"},{"issue":"1","key":"e_1_2_9_8_1","first-page":"8","article-title":"Associations between maternal obesity and race, with obstetric anal sphincter injury: a retrospective cohort study","volume":"78","author":"Yamasato K","year":"2019","journal-title":"Hawaii J Med Public Health"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/395803"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00192-022-05328-W\/TABLES\/4"},{"key":"e_1_2_9_11_1","unstructured":"Third\u2010 and Fourth\u2010degree Perineal Tears Management (Green\u2010top Guideline No. 29) | RCOG. 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