{
    "abstract": "To review and compare existing guidelines on the intrapartum management and postpartum follow-up of obstetric anal sphincter injuries (OASIS) METHODS: We conducted a systematic review of clinical guidelines related to OASIS management, focusing on intrapartum care and postpartum follow-up. Searches were performed in July 2024 across multiple databases, including PubMed, Embase, and the Cochrane Library. Guidelines published after 2010 in English were included.\nNine national guidelines were included. There was a consensus on OASIS classification and immediate management, particularly regarding suture techniques, materials, and the necessity of adequate analgesia. However, notable variations were identified in the timing of repair, specialist involvement, use of prophylactic antibiotics, and post-operative care protocols. Postpartum follow-up practices also varied, especially regarding the role of physiotherapy and the timing of specialist consultations, reflecting inconsistencies in long-term care recommendations.\nSignificant variability existed in the guidelines for the management and follow-up of OASIS, particularly in postpartum care. This study underscored the need for standardized, evidence-based guidelines to ensure consistent and optimal care for women affected by OASIS.",
    "authors": [
        {
            "affiliation": "Service de chirurgie gyn\u00e9cologique, CHU Lille, Lille F-59000, France; Facult\u00e9 de m\u00e9decine, Univ. Lille, Lille F-59000, France; Univ. Lille, CNRS, Centrale Lille, UMR 9013 - LaMcube - Laboratoire de M\u00e9canique, Multiphysique, Multi\u00e9chelle, Lille F-59000, France; Department of Applied Mechanics, Universit\u00e9 de Franche-Comt\u00e9, FEMTO-ST Institute, UMR 6174 CNRS, Besan\u00e7on F-25000, France. Electronic address: marine.lallemant@chu-lille.fr.",
            "firstname": "Marine",
            "initials": "M",
            "lastname": "Lallemant"
        },
        {
            "affiliation": "Service de chirurgie gyn\u00e9cologique, CHU Lille, Lille F-59000, France.",
            "firstname": "Alessandro",
            "initials": "A",
            "lastname": "Ferdinando Ruffolo"
        },
        {
            "affiliation": "Service de chirurgie gyn\u00e9cologique, CHU Lille, Lille F-59000, France; Facult\u00e9 de m\u00e9decine, Univ. Lille, Lille F-59000, France; Univ. Lille, Unit\u00e9 Inserm U1189 - OncoThai: Laser Assisted Therapies and Immunotherapies for Oncology, Lille 59000, France.",
            "firstname": "Yohan",
            "initials": "Y",
            "lastname": "Kerbage"
        },
        {
            "affiliation": "Service de chirurgie gyn\u00e9cologique, CHU Lille, Lille F-59000, France; Facult\u00e9 de m\u00e9decine, Univ. Lille, Lille F-59000, France; Univ. Lille, CHU Lille, ULR 2694 - METRICS - Health Technology and Medical Practice Assessment, Lille F-59000, France.",
            "firstname": "Charles",
            "initials": "C",
            "lastname": "Garadebian"
        },
        {
            "affiliation": "Service de chirurgie gyn\u00e9cologique, CHU Lille, Lille F-59000, France; Facult\u00e9 de m\u00e9decine, Univ. Lille, Lille F-59000, France; Univ. Lille, CHU Lille, ULR 2694 - METRICS - Health Technology and Medical Practice Assessment, Lille F-59000, France.",
            "firstname": "Louise",
            "initials": "L",
            "lastname": "Ghesquiere"
        },
        {
            "affiliation": "Service de chirurgie gyn\u00e9cologique, CHU Lille, Lille F-59000, France; Facult\u00e9 de m\u00e9decine, Univ. Lille, Lille F-59000, France; Univ. Lille, CNRS, Centrale Lille, UMR 9013 - LaMcube - Laboratoire de M\u00e9canique, Multiphysique, Multi\u00e9chelle, Lille F-59000, France.",
            "firstname": "Chryst\u00e8le",
            "initials": "C",
            "lastname": "Rubod"
        },
        {
            "affiliation": "Service de chirurgie gyn\u00e9cologique, CHU Lille, Lille F-59000, France; Facult\u00e9 de m\u00e9decine, Univ. Lille, Lille F-59000, France; Univ. Lille, CNRS, Centrale Lille, UMR 9013 - LaMcube - Laboratoire de M\u00e9canique, Multiphysique, Multi\u00e9chelle, Lille F-59000, France.",
            "firstname": "Michel",
            "initials": "M",
            "lastname": "Cosson"
        }
    ],
    "conclusions": "Significant variability existed in the guidelines for the management and follow-up of OASIS, particularly in postpartum care. This study underscored the need for standardized, evidence-based guidelines to ensure consistent and optimal care for women affected by OASIS.",
    "copyrights": "Copyright \u00a9 2024. Published by Elsevier B.V.",
    "doi": "10.1016/j.ejogrb.2024.09.042",
    "journal": "European journal of obstetrics, gynecology, and reproductive biology",
    "keywords": [
        "Clinical Practice",
        "Guidelines",
        "OASIS",
        "Perineal care",
        "Recommendations",
        "Severe perineal tears"
    ],
    "methods": null,
    "publication_date": "2024-10-11",
    "pubmed_id": "39388912",
    "results": "Nine national guidelines were included. There was a consensus on OASIS classification and immediate management, particularly regarding suture techniques, materials, and the necessity of adequate analgesia. However, notable variations were identified in the timing of repair, specialist involvement, use of prophylactic antibiotics, and post-operative care protocols. Postpartum follow-up practices also varied, especially regarding the role of physiotherapy and the timing of specialist consultations, reflecting inconsistencies in long-term care recommendations.",
    "title": "Clinical practices in the management and follow-up of obstetric anal sphincter injuries: a comprehensive review.",
    "xml": "<Element 'PubmedArticle' at 0x788502b45760>"
}